MARK O NICHOLS (NPI# 1922196575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922196575 |
| Entity Type | Individual |
| Full Name | MARK O NICHOLS |
| Credential | M.D. |
| Practice Address |
2600 Wilson St Miles City MT 59301-5094 |
| Practice Telephone | 4062332500 |
| Practice Fax Number | 4062332611 |
| Mailing Telephone | 4062332500 |
| Mailing Fax Number | 4062332611 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2016-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 12569 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A421210 | 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 |
| 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 |
| 1033149893 | Mark G Nichols | Dentist | 225 Walker Rd, Chambersburg, PA 17201-9798 | 2006-07-04 |
| Street Address |
2600 WILSON ST |
| City | MILES CITY |
| State | MT |
| Zip Code | 59301-5094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285634204 | Thomas F Beeson | Surgery | 2600 Wilson St, Miles City, MT 59301-5094 | 2005-08-01 |
| 1205459526 | Cortney Collins | Physical Therapist | 2600 Wilson St, Miles City, MT 59301-5094 | 2020-05-20 |
| 1578192159 | Daniel Alex Markin | Physical Therapist | 2600 Wilson St, Miles City, MT 59301-5094 | 2020-04-05 |
| 1043843956 | Ashley Folden | Physical Therapist | 2600 Wilson St, Miles City, MT 59301-5094 | 2020-02-19 |
| 1881244457 | Justin Nagy | Physician Assistant | 2600 Wilson St, Miles City, MT 59301-5094 | 2019-09-16 |
| 1720632730 | Yolanda Marie Janshen | Nurse Practitioner | 2600 Wilson St, Miles City, MT 59301-5094 | 2019-07-29 |
| 1457817454 | Lynette S Svingen | Student in an Organized Health Care Education/Training Program | 2600 Wilson St, Miles City, MT 59301-5094 | 2019-02-14 |
| 1811466741 | Mary Muggli Weimer | Nurse Practitioner | 2600 Wilson St, Miles City, MT 59301-5094 | 2018-11-20 |
| 1144705633 | Melissa Mcenroe | Physical Therapist | 2600 Wilson St, Miles City, MT 59301-5094 | 2018-10-01 |
| 1962987453 | David Patrick Kearney | Physical Therapist | 2600 Wilson St, Miles City, MT 59301-5094 | 2018-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013475011 | Pendelton House Assisted Living | Assisted Living Facility | 220 N Ceneter Ave, Miles City, MT 59301 | 2019-03-08 |
| 1124536453 | Dialysis Clinic Inc | Clinic/Center | 2708 Main Street, #4, Miles City, MT 59301 | 2018-01-22 |
| 1356760953 | Jessica Carter | General Acute Care Hospital | 2600 Wilson St, Miles City, MT 59301 | 2014-04-10 |
| 1164844833 | Yerger Family Dental, PC | Dentist | 2904 Mallet Ln, Miles City, MT 59301 | 2014-01-14 |
| 1679812937 | Peterson Psychological Services, Inc | Psychologist | 18 N. 8th St, Miles City, MT 59301 | 2013-02-06 |
| 1528208832 | Anita Roseann Leinen | Counselor | 2508 Wilson Sreet, Miles City, MT 59301 | 2009-02-26 |
| 1902074966 | Wagner Chiropractic, Pllc | Chiropractor | 213 N Haynes, Miles City, MT 59301 | 2008-02-13 |
| 1245355684 | Southeast Optical Inc | Technician/Technologist | 2000 Clark Street, Miles City, MT 59301 | 2007-03-21 |
| 1992835524 | Big Country Educational Cooperative | Local Education Agency (LEA) | 206 Kenwood, Miles City, MT 59301 | 2007-03-06 |
| 1629107453 | Dee Ann Mclellan-sams | Counselor | 2705 Main St, Choices-compassionate Care Counseling Center, Miles City, MT 59301 | 2007-03-05 |
| Find all providers in zip 59301 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285634204 | Thomas F Beeson | Surgery | 2600 Wilson St, Miles City, MT 59301-5094 | 2005-08-01 |
| 1780023655 | Kurt Daniel Ammerman | Surgery | 2600 Wilson St, Miles City, MT 59301 | 2013-06-24 |
| 1194055921 | Southeastern Montana Surgical Associates PC | Surgery | 2600 Wilson St, Miles City, MT 59301-5094 | 2009-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366714685 | Thomas Hanchett Danaher | Surgery | 70 Adair Creek Rd, Livingston, MT 59047-9308 | 2012-02-01 |
| 1225335599 | Mark George Newbrough | Surgery | 324 36th Avenue Ne, Great Falls, MT 59404-4209 | 2011-02-22 |
| 1134446966 | Philip Lee Cardan | Surgery | 704c East 13th Street, Suite 220, Whitefish, MT 59937-2981 | 2010-05-04 |
| 1326370123 | William Robert Mcgregor | Surgery | 520 34th St S, Great Falls, MT 59405-3550 | 2010-02-03 |
| 1467688119 | Daniel Lloyd Diamond | Surgery | 5385 Rabe Rd, Columbia Falls, MT 59912-9432 | 2009-06-09 |
| 1043465313 | Anthony Allen Goodman | Surgery | 2555 Deer Creek Dr, Bozeman, MT 59715-7728 | 2008-11-29 |
| 1417111576 | Stacie Leigh Campo | Surgery | 500 W Broadway St Fl 5, Missoula Surgical Associates, Missoula, MT 59802-4008 | 2008-07-17 |
| 1669641411 | Eric William Labouvie | Surgery | 153 Comfort Lane, Bozeman, MT 59718 | 2008-02-26 |
| 1780852053 | Elizabeth L. Suh, M.d. Pllc | Surgery | 2835 Fort Missoula Rd Ste 305, Missoula, MT 59804-7424 | 2008-02-20 |
| 1831388644 | Dana A Osborne | Surgery | 2525 E Broadway St Ste 202, Helena, MT 59601-8049 | 2007-10-17 |
| Find all providers with the same taxonomy | ||||
| City | MILES CITY |
| Zip Code | 59301 |
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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.