MARK EDWARD NICHOLS (NPI# 1891780227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891780227 |
| Entity Type | Individual |
| Full Name | MARK EDWARD NICHOLS |
| Credential | M.D. |
| Practice Address |
605 S Conroe Medical Dr Conroe TX 77304-4722 |
| Practice Telephone | 9365394004 |
| Mailing Telephone | 9365394004 |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2017-02-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | L0457 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 174211601 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427512110 | Mark Nichols | Respiratory Therapist, Registered | 1831 Avondale Ave, Sacramento, CA 95825-1385 | 2019-01-26 |
| 1275879785 | Mark Nichols | Counselor | 727 J Clyde Morris Blvd Ste A, Newport News, VA 23601-1507 | 2013-01-02 |
| 1003950437 | Mark Alan Nichols | Counselor | 4732 N. Oracle Rd, Suite 312, Tucson, AZ 85705 | 2007-02-18 |
| 1659317352 | Mark Roberts Nichols | Dentist | 3651 Highway 59 N, Grove, OK 74344-3705 | 2006-06-21 |
| 1346298098 | Mark A Nichols | Internal Medicine | 1500 N Wilmot, Rincon Internal Medicine Suite B250, Tucson, AZ 85712 | 2006-05-05 |
| 1902892946 | Mark Lovel Nichols | Internal Medicine | 250 Hospice Cir, Raleigh, NC 27607-6372 | 2005-09-26 |
| 1407997547 | Mark Edward Nichols | Physical Therapist | 2900 1st Ave, Huntington, WV 25702-1241 | 2007-02-10 |
| 1922196575 | Mark O Nichols | Surgery | 2600 Wilson St, Miles City, MT 59301-5094 | 2006-10-10 |
| 1265440739 | Mark David Nichols | Obstetrics & Gynecology | 3181 Sw Sam Jackson Park Rd, Uhn-50, Portland, OR 97239-3011 | 2006-08-03 |
| 1295757102 | Mark Alan Nichols | Dentist | 450 39th St, Ogden, UT 84403-1838 | 2006-07-24 |
| Street Address |
605 S CONROE MEDICAL DR |
| City | CONROE |
| State | TX |
| Zip Code | 77304-4722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326045774 | Lone Star Community Health Center, Inc. | Clinic/Center | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2005-06-30 |
| 1508485822 | Julian Hilario Jimenez | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-16 |
| 1376162693 | Atharva Prashant Joshi | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-16 |
| 1437779774 | Devin Adam Quiroz | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-16 |
| 1396365631 | Brian Thomas Benjamin | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-16 |
| 1922627389 | Lauren Quyen Duong | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-15 |
| 1720607104 | Bryan J Bessellieu | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-15 |
| 1952920340 | Valerie Christine Hopper | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-15 |
| 1477172849 | Anthony Bert Diaz | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-15 |
| 1013536457 | Rushab Harshadkumar Patel | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348649 | Neuropsychiatric Hospital of Greater Houston, LLC | Psychiatric Hospital | 1317 South Loop Road 336 West, Conroe, TX 77304 | 2020-05-19 |
| 1780148676 | Muve - Conroe Ambulatory Surgical Center, LLC | Clinic/Center | 1246 N Farm To Market 3083 Rd W, Conroe, TX 77304 | 2019-01-25 |
| 1922591411 | Bradley Leiker II | Dentist | 381 South Loop 336 West Suite 500, Conroe, TEXAS 77304 | 2018-06-11 |
| 1598266009 | Chapman Pain Consultants | Anesthesiology | 4015 I45 North, Suite 230-1, Conroe, TX 77304 | 2018-02-21 |
| 1063932366 | Jonathan Garcia | Specialist/Technologist | 1716 Summergate Drive, Conroe, TX 77304 | 2017-06-27 |
| 1932634169 | 3083 Imaging LLC | Clinic/Center | 1246 N Fm 3083 West, Conroe, TX 77304 | 2017-04-25 |
| 1881138758 | Bolt Urgent Care and Imaging Center, LLC | Clinic/Center | 1246 Fm 3083 West, Conroe, TX 77304 | 2016-12-13 |
| 1497106272 | The Rio At Conroe, LLC | Skilled Nursing Facility | 604 South Conroe Medical Drive, Conroe, TX 77304 | 2016-06-23 |
| 1093165615 | Melanie Kay Plaster | Behavioral Analyst | 2626 Silver Shadow, Conroe, TX 77304 | 2016-06-14 |
| 1508249798 | Conroe Willis Family Medicine, Pllc | Family Medicine | 4015 I 45 N Ste 220, Conroe, TX 77304 | 2015-07-07 |
| Find all providers in zip 77304 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295127355 | Solace Womens Care Pa | Obstetrics & Gynecology | 690 S Loop 336 W, 220, Conroe, TX 77304-3319 | 2015-02-26 |
| 1487079299 | Sausan Lawal | Obstetrics & Gynecology | 508 Medical Center Blvd Ste 320, Conroe, TX 77304 | 2014-03-03 |
| 1700131091 | Ob-gyn Associates of Conroe Pa | Obstetrics & Gynecology | 601 River Pointe Dr, Suite 130, Conroe, TX 77304-2945 | 2012-07-23 |
| 1710241021 | New Beginnings Ob/gyn P.l.l.c. | Obstetrics & Gynecology | 500 Medical Center Blvd, Suite 222, Conroe, TX 77304-2889 | 2012-07-02 |
| 1912130667 | Rania Ibrahim | Obstetrics & Gynecology | 500 Medical Center Blvd, Suite 222, Conroe, TX 77304-2889 | 2009-08-28 |
| 1063544286 | Conroe Obstetrics & Gynecology Associates | Obstetrics & Gynecology | 100 Medical Center Blvd., Suite 100, Conroe, TX 77304-2821 | 2007-03-12 |
| 1568590610 | Lone Star Community Health Center, Inc. | Obstetrics & Gynecology | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2007-03-01 |
| 1366505521 | Richard Royston Roberts | Obstetrics & Gynecology | 601 River Pointe Dr, Suite 130, Conroe, TX 77304-2945 | 2006-12-19 |
| 1225107113 | Farly Sejour | Obstetrics & Gynecology | 690 S Loop 336 W, Suite 220, Conroe, TX 77304-3319 | 2006-11-07 |
| 1336236207 | Alexander Benjamin Klein | Obstetrics & Gynecology | 508 Medical Center Blvd, Ste 200, Conroe, TX 77304-2808 | 2006-10-10 |
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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.