Edward Nicklas Ii (NPI# 1639138605, PAC ID# 2769439306) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ENDOCRINOLOGY.
| Nation Provider ID (NPI) | 1639138605 |
| PAC ID by PECOS | 2769439306 |
| Professional Enrollment ID | I20150808015885 |
| Full Name | Edward Nicklas Ii |
| Organization Legal Name | MEMORIAL HERMANN MEDICAL GROUP |
| Address |
2900 Richmond Ave Houston TX 77098-3106 |
| Phone Number | 7135126060 |
| Gender | M |
| Credential | MD |
| Medical School | EAST CAROLINA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | ENDOCRINOLOGY |
| Group Practice PAC ID | 7012008360 |
| Number of Group Practice Members | 486 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450184 | MEMORIAL HERMANN HOSPITAL SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 2900 Richmond Ave, Houston, TX 77098-3106 | 7135126060 | MEMORIAL HERMANN MEDICAL GROUP |
| 10907 Memorial Hermann Dr, Pearland, TX 77584-4114 | MEMORIAL HERMANN MEDICAL GROUP |
| Organization Legal Name | MEMORIAL HERMANN MEDICAL GROUP |
| Physicians | 407 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Minjoo Kim | Family Medicine | Memorial Hermann Medical Group | 27700 Hwy 290, Suite 100, Cypress, TX 77433-6767 |
| Michael Chen | Nurse Practitioner | Memorial Hermann Medical Group | 10780 Westview Dr, Suite C, Houston, TX 77043-5038 |
| Chuan-li Fan | Family Medicine | Memorial Hermann Medical Group | 2750 Fm 1463 Rd, Suite 100, Katy, TX 77494-6894 |
| Chris Simpson | Family Medicine | Memorial Hermann Medical Group | 2555 Gulf Fwy S 600, Memorial Hermann Medical Grp League City Ccc, League City, TX 77573-6742 |
| Marilynn Tedja | Hospitalist | Memorial Hermann Medical Group | 11800 Astoria Blvd, Houston, TX 77089-6041 |
| Halie Shah | Internal Medicine | Memorial Hermann Medical Group | 7474 N Grand Pkwy W, 400 Memorial Hermann Medical Group Spring Ccc, Spring, TX 77379-1565 |
| Mohummed R Khani | Colorectal Surgery (proctology) | Memorial Hermann Medical Group | 3203 Broadway St, Pearland, TX 77581-1414 |
| Samiat O Telufusi | Nurse Practitioner | Memorial Hermann Medical Group | 19001 Kermier Rd, Suite 1012, Waller, TX 77484-8810 |
| Katherine Holzman | Family Medicine | Memorial Hermann Medical Group | 13114 Fm 1960, Suite 119, Houston, TX 77065-4290 |
| Vivian Nowazek | Nurse Practitioner | Memorial Hermann Medical Group | 3203 E Broadway, Pearland, TX 77581-4501 |
| Street Address |
2900 RICHMOND AVE |
| City | HOUSTON |
| State | TX |
| Zip | 77098-3106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pernia Latif | Internal Medicine | Memorial Hermann Medical Group | 2900 Richmond Ave, Houston, TX 77098-3106 |
| Coco D Williard | Internal Medicine | Memorial Hermann Medical Group | 2900 Richmond Ave, Houston, TX 77098-3106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Miriam Aponte | Psychiatry | 2211 Norfolk, Suite 140, Houston, TX 77098 | |
| Reem Z Renno | Ophthalmology | 2900 Westheimer, Houston, TX 77098-1112 | |
| Amir Shakur Malik | Neurosurgery | 2800 Kirby Dr B, Houston, TX 77098-1273 | |
| Anthony J Lamarra | Podiatry | 2621 S Shepherd Dr, Suite 220, Houston, TX 77098-1517 | |
| Terrence H Upton | Podiatry | 2621 S Shepherd Dr, Suite 220, Houston, TX 77098-1517 | |
| Christine A Tyler | Optometry | 2055 Westheimer Rd, Suite 135, Houston, TX 77098-1555 | |
| Sarah Elizabeth Williams | Qualified Audiologist | Speechpath Associates Inc | 3275 W Alabama, Houston, TX 77098-1701 |
| Sunita Kavrie | Qualified Speech Language Pathologist | Speechpath Associates Inc | 3275 W Alabama, Houston, TX 77098-1701 |
| Andrea Rae Markway | Audiologist | Speechpath Associates Inc | 3275 W Alabama, Houston, TX 77098-1701 |
| Forrest Sussman Roth | Plastic and Reconstructive Surgery | 2800 Kirby Dr, Suite B212, Houston, TX 77098-1742 | |
| Find all physicians in zip 77098 | |||
| City | HOUSTON |
| Zip Code | 77098 |
| Specialty | ENDOCRINOLOGY |
| City + Specialty | HOUSTON + ENDOCRINOLOGY |
Please comment or provide details below to improve the information on Edward Nicklas Ii.
| 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.