Kevin G Nickell (NPI# 1053388785, PAC ID# 3274508163) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1053388785 |
| PAC ID by PECOS | 3274508163 |
| Professional Enrollment ID | I20061025000723 |
| Full Name | Kevin G Nickell |
| Organization Legal Name | HOUSTON METRO UROLOGY |
| Address |
7777 Southwest Fwy 1032 Houston TX 77074-1812 |
| Phone Number | 7137719224 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
| Graduation Year | 1989 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 3971508235 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450820 | HOUSTON METHODIST SUGARLAND HOSPITAL |
| 450184 | MEMORIAL HERMANN HOSPITAL SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 7777 Southwest Fwy 1032, Houston, TX 77074-1812 | 7137719224 | HOUSTON METRO UROLOGY |
| 16605 Southwest Fwy 250, Sugar Land, TX 77479-3476 | 2813251090 | HOUSTON METRO UROLOGY |
| Organization Legal Name | HOUSTON METRO UROLOGY |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandeep Mehta | Urology | Houston Metro Urology | 9230 Katy Fwy, Suite 510, Houston, TX 77055-7469 |
| Stephen C Dalton | Diagnostic Radiology | Houston Metro Urology | 4223 Richmond Ave, Suite 200, Houston, TX 77027-6856 |
| Herbert L Watkins | Urology | Houston Metro Urology | 1140 Westmont Dr, Suite 425, Houston, TX 77015-4358 |
| Stephen L Lapin | Urology | Houston Metro Urology | 6560 Fannin St, Suite 1440, Houston, TX 77030-2713 |
| Lara Marie Matheson | Urology | Houston Metro Urology | 6560 Fannin St, Suite 2030, Houston, TX 77030-2727 |
| An N Hoang | Urology | Houston Metro Urology | 7777 Southwest Fwy 1032, Houston, TX 77074-1812 |
| Carl W Ogletree | Urology | Houston Metro Urology | 4223 Richmond Ave, Suite 200, Houston, TX 77027-6856 |
| David W Goldfarb | Urology | Houston Metro Urology | 6560 Fannin St, Suite 1440, Houston, TX 77030-2713 |
| Patrick R Johnson | Diagnostic Radiology | Houston Metro Urology | 4223 Richmond Ave, Suite 200, Houston, TX 77027-6856 |
| Lawrence O Baum Iii | Urology | Houston Metro Urology | 7777 Southwest Fwy 1032, Houston, TX 77074-1812 |
| Street Address |
7777 SOUTHWEST FWY 1032 |
| City | HOUSTON |
| State | TX |
| Zip | 77074-1812 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| An N Hoang | Urology | Houston Metro Urology | 7777 Southwest Fwy 1032, Houston, TX 77074-1812 |
| Lawrence O Baum Iii | Urology | Houston Metro Urology | 7777 Southwest Fwy 1032, Houston, TX 77074-1812 |
| Zvi J Schiffman | Urology | Houston Metro Urology | 7777 Southwest Fwy 1032, Houston, TX 77074-1812 |
| Brenton N Armstrong | Urology | Houston Metro Urology | 7777 Southwest Fwy 1032, Houston, TX 77074-1812 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanette B Valdivieso | Psychiatry | The Harris Center for Mental Health and Idd | 9401 Southwest Fwy, Houston, TX 77074-1407 |
| Randall C Black | Clinical Social Worker | The Harris Center for Mental Health and Idd | 9401 Southwest Fwy, Houston, TX 77074-1407 |
| Katherine A Cowan | Psychiatry | The Harris Center for Mental Health and Idd | 9401 Southwest Fwy, Houston, TX 77074-1407 |
| Edward Casanova | Psychiatry | The Harris Center for Mental Health and Idd | 9401 Southwest Fwy, Houston, TX 77074-1407 |
| Terry L. Peterson | Clinical Social Worker | The Harris Center for Mental Health and Idd | 9401 Southwest Fwy, Houston, TX 77074-1407 |
| Stephen W Kitt | Clinical Social Worker | The Harris Center for Mental Health and Idd | 9401 Southwest Fwy, Houston, TX 77074-1407 |
| Akhtar Alam | Psychiatry | The Harris Center for Mental Health and Idd | 9401 Southwest Fwy, Houston, TX 77074-1407 |
| Nicole P Cyr | Psychiatry | The Harris Center for Mental Health and Idd | 9401 Southwest Fwy, Houston, TX 77074-1407 |
| Madhuri V Kamble | Psychiatry | The Harris Center for Mental Health and Idd | 9401 Southwest Fwy, Houston, TX 77074-1407 |
| Jocelyn A. Andrews | Psychiatry | The Harris Center for Mental Health and Idd | 9401 Southwest Fwy, Houston, TX 77074-1407 |
| Find all physicians in zip 77074 | |||
| City | HOUSTON |
| Zip Code | 77074 |
| Specialty | UROLOGY |
| City + Specialty | HOUSTON + UROLOGY |
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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.