DR. CASEY PEYTON NICOL (NPI# 1871989178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871989178 |
| Entity Type | Individual |
| Full Name | DR. CASEY PEYTON NICOL |
| Credential | MD/MPH |
| Practice Address |
2150 Ne Division St Ste 202 Gresham OR 97030-5859 |
| Practice Telephone | 5036674454 |
| Practice Fax Number | 5036663298 |
| Mailing Telephone | 5036674454 |
| Mailing Fax Number | 5036663298 |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2019-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
MD193740 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | NPI | 1871989178 | 01 |
| OR | MD193740 | 05 |
| Street Address |
2150 NE DIVISION ST STE 202 |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-5859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255513701 | Gresham Women's Healthcare, PC | Obstetrics & Gynecology | 2150 Ne Division St Ste 202, Gresham, OR 97030-5859 | 2007-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780863761 | Katherine A Holloway | Obstetrics & Gynecology | 4037 Ne 8th Ave, Portland, OR 97212-1208 | 2007-10-26 |
| 1497850192 | Gregory L Gent | Obstetrics & Gynecology | 620 Se Oak St Ste E, Hillsboro, OR 97123-4160 | 2006-09-14 |
| 1922110972 | Audrey Ellen Tarr | Obstetrics & Gynecology | 1040 Nw 22nd Ave, Suite 600, Portland, OR 97210-3041 | 2006-08-31 |
| 1730185141 | John Anthony Murphy | Obstetrics & Gynecology | 2450 Ne Mary Rose Pl Ste 220, Bend, OR 97701-7133 | 2005-06-22 |
| 1437601234 | Nicholas Mills Md LLC | Obstetrics & Gynecology | 2941 Doctors Park Dr, Medford, OR 97504-8127 | 2016-10-27 |
| 1790120574 | Rachel Guild | Obstetrics & Gynecology | 1700 E 19th St, The Dalles, OR 97058-3317 | 2013-05-07 |
| 1386935609 | Carmen M Doom | Obstetrics & Gynecology | 1130 Nw 22nd Ave, Suite 520, Portland, OR 97210 | 2011-04-20 |
| 1396962007 | Samaritan North Lincoln Hospital | Obstetrics & Gynecology | 3100 Ne 28th St Ste C, Lincoln City, OR 97367-4524 | 2007-04-20 |
| 1093834392 | Katherine L. Hilsinger Md PC | Obstetrics & Gynecology | 2580 Daggett Ave, Klamath Falls, OR 97601-1127 | 2007-03-28 |
| 1295812402 | Jason Naoki Hashima | Obstetrics & Gynecology | 9427 Sw Barnes Rd, Mother Joseph's Plaza, Portland, OR 97225-6652 | 2006-11-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.