Nickoline M Hathaway (NPI# 1629005749, PAC ID# 8628139391) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1629005749 |
| PAC ID by PECOS | 8628139391 |
| Professional Enrollment ID | I20081212000728 |
| Full Name | Nickoline M Hathaway |
| Organization Legal Name | NORTHERN INYO HEALTHCARE DISTRICT |
| Address |
150 Pioneer Ln Bishop CA 93514-2556 |
| Phone Number | 7608735811 |
| Gender | F |
| Medical School | UNIVERSITY OF CALIFORNIA, CALIFORNIA COLLEGE OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 8921992090 |
| Number of Group Practice Members | 51 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 051324 | NORTHERN INYO HOSPITAL |
| 051302 | SOUTHERN INYO HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 150 Pioneer Ln, Bishop, CA 93514-2556 | 7608735811 | NORTHERN INYO HEALTHCARE DISTRICT |
| 152 Pioneer Ln, Suite C, Bishop, CA 93514-2563 | 7608737111 | NORTHERN INYO HEALTHCARE DISTRICT |
| Organization Legal Name | NORTHERN INYO HEALTHCARE DISTRICT |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne Wakamiya | Internal Medicine | Northern Inyo Healthcare District | 150 Pioneer Ln, Bishop, CA 93514-2556 |
| John E Franklin Jr. | Internal Medicine | Northern Inyo Healthcare District | 152 Pioneer Ln C, Bishop, CA 93514-2563 |
| Joy K Engblade | Internal Medicine | Northern Inyo Healthcare District | 152 Pioneer Ln, Suite C, Bishop, CA 93514-2563 |
| Jon C Bowersox | General Surgery | Northern Inyo Healthcare District | 150 Pioneer Ln, Bishop, CA 93514-2556 |
| Matthew J Wise | Obstetrics/gynecology | Northern Inyo Healthcare District | 150 Pioneer Ln, Bishop, CA 93514-2556 |
| Thomas Joseph Boo | Family Medicine | Northern Inyo Healthcare District | 150 Pioneer Ln, Bishop, CA 93514-2556 |
| Allison J Robinson | General Surgery | Northern Inyo Healthcare District | 150 Pioneer Ln, Bishop, CA 93514-2556 |
| Uttama Sharma | Family Medicine | Northern Inyo Healthcare District | 150 Pioneer Ln, Bishop, CA 93514-2556 |
| Anne Goshgarian | Emergency Medicine | Northern Inyo Healthcare District | 150 Pioneer Ln, Bishop, CA 93514-2556 |
| Robbin Cromer-tyler | General Surgery | Northern Inyo Healthcare District | 150 Pioneer Ln, Bishop, CA 93514-2556 |
| Street Address |
150 PIONEER LN |
| City | BISHOP |
| State | CA |
| Zip | 93514-2556 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne Wakamiya | Internal Medicine | Northern Inyo Healthcare District | 150 Pioneer Ln, Bishop, CA 93514-2556 |
| Ryan Edward Berecky | Diagnostic Radiology | Landis, Kop, Carlevato, Loos and Shonnard, Ltd. | 150 Pioneer Ln, Bishop, CA 93514-2556 |
| Jon C Bowersox | General Surgery | Northern Inyo Healthcare District | 150 Pioneer Ln, Bishop, CA 93514-2556 |
| Carly Renee Harvey | Diagnostic Radiology | Landis, Kop, Carlevato, Loos and Shonnard, Ltd. | 150 Pioneer Ln, Bishop, CA 93514-2556 |
| Matthew J Wise | Obstetrics/gynecology | Northern Inyo Healthcare District | 150 Pioneer Ln, Bishop, CA 93514-2556 |
| Thomas Joseph Boo | Family Medicine | Northern Inyo Healthcare District | 150 Pioneer Ln, Bishop, CA 93514-2556 |
| Stephen James Loos | Diagnostic Radiology | Landis, Kop, Carlevato, Loos and Shonnard, Ltd. | 150 Pioneer Ln, Bishop, CA 93514-2556 |
| Allison J Robinson | General Surgery | Northern Inyo Healthcare District | 150 Pioneer Ln, Bishop, CA 93514-2556 |
| David Nicklaus Landis | Diagnostic Radiology | Landis, Kop, Carlevato, Loos and Shonnard, Ltd. | 150 Pioneer Ln, Bishop, CA 93514-2556 |
| Uttama Sharma | Family Medicine | Northern Inyo Healthcare District | 150 Pioneer Ln, Bishop, CA 93514-2556 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne Goshgarian | Emergency Medicine | Northern Inyo Healthcare District | 150 Pioneer Ln, Bishop, CA 93514-2556 |
| Robbin Cromer-tyler | General Surgery | Northern Inyo Healthcare District | 150 Pioneer Ln, Bishop, CA 93514-2556 |
| Jay K Harness | General Surgery | Northern Inyo Healthcare District | 150 Pioneer Ln, Bishop, CA 93514-2556 |
| Mark Robinson | Orthopedic Surgery | Northern Inyo Healthcare District | 150 Pioneer Ln, Bishop, CA 93514-2556 |
| Keith M. Shonnard | Diagnostic Radiology | Landis, Kop, Carlevato, Loos and Shonnard, Ltd. | 150 Pioneer Ln, Bishop, CA 93514-2556 |
| Wilbur Daroya Peralta | Internal Medicine | Northern Inyo Healthcare District | 150 Pioneer Ln, Bishop, CA 93514-2556 |
| Martha B Kim | Obstetrics/gynecology | Northern Inyo Healthcare District | 150 Pioneer Ln, Bishop, CA 93514-2556 |
| Catherine Leja | Family Medicine | Northern Inyo Healthcare District | 150 Pioneer Ln, Bishop, CA 93514-2556 |
| Stacey Lee Brown | Family Medicine | Northern Inyo Healthcare District | 150 Pioneer Ln, Bishop, CA 93514-2556 |
| Amy Beth Saft | Certified Registered Nurse Anesthetist (crna) | Northern Inyo Healthcare District | 150 Pioneer Ln, Bishop, CA 93514-2556 |
| Find all physicians in zip 93514 | |||
| City | BISHOP |
| Zip Code | 93514 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BISHOP + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Nickoline M Hathaway.
| 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.