Joseph L Nichols (NPI# 1154791762, PAC ID# 2466731534) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1154791762 |
PAC ID by PECOS | 2466731534 |
Professional Enrollment ID | I20161111001788 |
Full Name | Joseph L Nichols |
Organization Legal Name | TRUMAN MEDICAL CENTER INCORPORATED |
Address |
1439 Minter Way Truman Medical Center Incorporated Grain Valley Fa Grain Valley MO 64029-9648 |
Phone Number | 8164046785 |
Gender | M |
Graduation Year | 2015 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 7315841418 |
Number of Group Practice Members | 233 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
260102 | TRUMAN MEDICAL CENTER LAKEWOOD |
Address | Phone | Organization |
---|---|---|
1439 Minter Way, Truman Medical Center Incorporated Grain Valley Fa, Grain Valley, MO 64029-9648 | 8164046785 | TRUMAN MEDICAL CENTER INCORPORATED |
7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 8164047000 | TRUMAN MEDICAL CENTER INCORPORATED |
Organization Legal Name | TRUMAN MEDICAL CENTER INCORPORATED |
Physicians | 190 |
Name | Specialty | Organization | Address |
---|---|---|---|
Eunice Minoo Mutisya | Nurse Practitioner | Truman Medical Center Incorporated | 9406 E 63rd St, Truman Medical Center Incorporated Raytown Family, Raytown, MO 64133-4904 |
Johanna Roten | Clinical Social Worker | Truman Medical Center Incorporated | 300 Se 2nd St, 100 Truman Medical Center Lakewood Counseling Services, Lees Summit, MO 64063-2759 |
Leanora Elizabeth Barreca | Psychologist, Clinical | Truman Medical Center Incorporated | 606 S Hardy Ave, Truman Medical Center Incorporated Fairmont Famil, Independence, MO 64053-1827 |
Ajanta J Raman | Nurse Practitioner | Truman Medical Center Incorporated | 1000 E 24th St Unit 2c Office, 53 Truman Medical Center Incorporated Behavioral Hlth, Kansas City, MO 64108-2640 |
Jessica Marie Crocker | Nurse Practitioner | Truman Medical Center Incorporated | 1525 E 23rd St S, University Health On The Go Clinic, Independence, MO 64055-1670 |
Sherril F Sego | Nurse Practitioner | Truman Medical Center Incorporated | 19000 E Eastland Ctr Ct, 100 Truman Medical Center Incorporated Medical Imaging, Independence, MO 64055-7023 |
Kelli A Pryor | Certified Registered Nurse Anesthetist (crna) | Truman Medical Center Incorporated | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 |
Linda D Dill | Anesthesiology | Truman Medical Center Incorporated | 1000 E 24th St Unit 2c Office, 53 Truman Medical Center Incorporated Behavioral Hlth, Kansas City, MO 64108-2640 |
Jakob J Nelson | Psychologist, Clinical | Truman Medical Center Incorporated | 2301 Holmes St, Kansas City, MO 64108-2640 |
Sharon M Kathrens | Nurse Practitioner | Truman Medical Center Incorporated | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 |
Street Address |
1439 MINTER WAY TRUMAN MEDICAL CENTER INCORPORATED GRAIN VALLEY FA |
City | GRAIN VALLEY |
State | MO |
Zip | 64029-9648 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michelle L Hirsch | Nurse Practitioner | Truman Medical Center Incorporated | 1439 Minter Way, Truman Medical Center Incorporated Grain Valley Fa, Grain Valley, MO 64029-9648 |
Cassie R Anderson | Nurse Practitioner | Truman Medical Center Incorporated | 1439 Minter Way, Truman Medical Center Incorporated Grain Valley Fa, Grain Valley, MO 64029-9648 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brad A Mouse | Family Medicine | 1101 Nw Pamela Blvd A, Grain Valley, MO 64029-7803 | |
Samantha Lee Linville | Physical Therapy | Boost Sports Performance LLC | 1460 Nw Olympic Dr, Suite J, Grain Valley, MO 64029-7865 |
John Michael Doerries | Physical Therapy | Serc Rehabilitation Partners LLC | 103 Sw Eagles Pkwy, Serc Grain Valley, Grain Valley, MO 64029-8512 |
Asa Montana Shaffer | Physical Therapy | Serc Rehabilitation Partners LLC | 103 Sw Eagles Pkwy, Serc Grain Valley, Grain Valley, MO 64029-8512 |
Megan A Hottel | Physician Assistant | University Health Physicians | 1439 S Minter Way, Grain Valley, MO 64029-9648 |
Catherine Ann Dowd | Chiropractic | 203 S Main St, Suite D, Grain Valley, MO 64029-9703 |
City | GRAIN VALLEY |
Zip Code | 64029 |
Specialty | NURSE PRACTITIONER |
City + Specialty | GRAIN VALLEY + NURSE PRACTITIONER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.