MARY TSAKIRIS NICHOLAS (NPI# 1902141575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902141575 |
| Entity Type | Individual |
| Full Name | MARY TSAKIRIS NICHOLAS |
| Other Name | MARY TSAKIRIS |
| Credential | PA-C |
| Practice Address |
1101 Paoli Pike West Chester PA 19380-4642 |
| Practice Telephone | 6109182500 |
| Mailing Telephone | 6109182500 |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2016-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA055885 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336496439 | Mary Ann Nicholas | Nurse Practitioner | 1500 East Medical Center Drive, Floor 3 Cardiovascular Center, Ann Arbor, MI 48109-5856 | 2012-08-07 |
| 1508146119 | Mary Nicholas | Pharmacist | 1033 Military Rd, Zanesville, OH 43701-1342 | 2011-08-26 |
| 1740204890 | Mary W. Nicholas | Social Worker | 441 Orange St, New Haven, CT 06511-6217 | 2006-07-26 |
| Street Address |
1101 PAOLI PIKE |
| City | WEST CHESTER |
| State | PA |
| Zip Code | 19380-4642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649379611 | Jeffrey P Hurley | Specialist | 1101 Paoli Pike, West Chester, PA 19380-4642 | 2006-09-22 |
| 1194180083 | Sean Elizabeth Conroy | Physician Assistant | 1101 Paoli Pike, West Chester, PA 19380-4642 | 2015-12-21 |
| 1184006835 | Kiera Lyn Booth | Dermatology | 1101 Paoli Pike, West Chester, PA 19380-4642 | 2015-06-18 |
| 1396943239 | Hurley Dermatology,pc | Specialist | 1101 Paoli Pike, West Chester, PA 19380-4642 | 2007-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846062 | Mikaela Lynn Mastromatto | Occupational Therapist | 1615 Boot Rd, West Chester, PA 19380 | 2020-09-17 |
| 1356969679 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 100 Genuardi Circle, West Chester, PA 19380 | 2020-07-13 |
| 1457984759 | Dana Marie Buckalew | Nurse Practitioner | 915 Fern Hill Road, Building A Suite 3, West Chester, PA 19380 | 2020-02-15 |
| 1285102921 | Audrey Caulfeild Caspar-clark | Dietitian, Registered | 221 Chatham Way, West Chester, PA 19380 | 2018-11-12 |
| 1497245260 | Hshc, Inc. | Audiologist-Hearing Aid Fitter | 131 North Church Street, West Chester, PA 19380 | 2018-05-16 |
| 1164946364 | Kevin Hayes | Social Worker | 310 N Matlack St., West Chester, PA 19380 | 2017-07-29 |
| 1750804472 | Pamela Ann Najera | Psychologist | 390 E. Boot Road, West Chester, PA 19380 | 2017-07-25 |
| 1356723613 | Rynda Ross Ganster | Nurse Practitioner | 400 E. Marshall St., West Chester, PA 19380 | 2015-06-23 |
| 1164823845 | Jeffrey Diksa | Behavioral Analyst | 117 E Chestnut St., Apt 307, West Chester, PA 19380 | 2014-09-12 |
| 1134535057 | Miranda Wolff | Speech-Language Pathologist | 1507 Manchester Ct, Apt 304, West Chester, PA 19380 | 2014-07-11 |
| Find all providers in zip 19380 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346799434 | Stephanie Marie Daviduk | Physician Assistant | 915 Old Fern Hill Rd Ste 202, West Chester, PA 19380-3431 | 2016-09-29 |
| 1306216288 | Matthew Ivin Walton | Physician Assistant | 1624 Shadyside Rd, West Chester, PA 19380-1566 | 2015-10-05 |
| 1114310844 | Monica Minnick | Physician Assistant | 1572 Wilmington Pike Ste 1, West Chester, PA 19382-8371 | 2015-03-04 |
| 1447493036 | Michelle Sovern Boyer | Physician Assistant | 7792 Misty Shore Dr, West Chester, OH 45069-9645 | 2009-04-12 |
| 1972124790 | Gregory Thomas Scullin | Physician Assistant | 701 E Marshall St, West Chester, PA 19380-4412 | 2020-05-04 |
| 1588216642 | Lauren Elizabeth Jolley | Physician Assistant | 835 W Chester Pike, West Chester, PA 19382-4848 | 2019-07-09 |
| 1821594391 | Christopher Diaz | Physician Assistant | 501 S Wawaset Rd, West Chester, PA 19382-6762 | 2018-04-03 |
| 1811348758 | Jennifer Deardorff | Physician Assistant | 701 E Marshall St, West Chester, PA 19380-4412 | 2016-06-22 |
| 1487019238 | Doreen Hu | Physician Assistant | 701 E Marshall St, West Chester, PA 19380 | 2015-12-22 |
| 1194180083 | Sean Elizabeth Conroy | Physician Assistant | 1101 Paoli Pike, West Chester, PA 19380-4642 | 2015-12-21 |
| Find all providers in WEST CHESTER | ||||
| City | WEST CHESTER |
| Zip Code | 19380 |
Please comment or provide details below to improve the information on MARY TSAKIRIS NICHOLAS.
| 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.