Nicole L Nichols (NPI# 1568913648, PAC ID# 9436432192) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SPEECH LANGUAGE PATHOLOGIST.
| Nation Provider ID (NPI) | 1568913648 |
| PAC ID by PECOS | 9436432192 |
| Professional Enrollment ID | I20170203002166 |
| Full Name | Nicole L Nichols |
| Organization Legal Name | VERSATILE HEALTHCARE SERVICES OF MARYLAND INC |
| Address |
416 E 30th St Baltimore MD 21218-3934 |
| Phone Number | 4108890727 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | SPEECH LANGUAGE PATHOLOGIST |
| Group Practice PAC ID | 2860436953 |
| Number of Group Practice Members | 62 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 416 E 30th St, Baltimore, MD 21218-3934 | 4108890727 | VERSATILE HEALTHCARE SERVICES OF MARYLAND INC |
| Organization Legal Name | VERSATILE HEALTHCARE SERVICES OF MARYLAND INC |
| Physicians | 62 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nirali Shah | Physical Therapy | Versatile Healthcare Services of Maryland Inc | 10501 New Hampshire Ave, Chi Baltimore Orthopaedics and Rehabilitation, Silver Spring, MD 20903-1122 |
| Jerome M Johnson | Occupational Therapy | Versatile Healthcare Services of Maryland Inc | 1420 Spring St, Silver Spring, MD 20910-2701 |
| Adeyinka Adepoju | Physical Therapy | Versatile Healthcare Services of Maryland Inc | 416 E 30th St, Baltimore, MD 21218-3934 |
| Patricia Kane | Occupational Therapy | Versatile Healthcare Services of Maryland Inc | 416 E 30th St, Baltimore, MD 21218-3934 |
| Monique Pertee | Occupational Therapy | Versatile Healthcare Services of Maryland Inc | 416 E 30th St, Baltimore, MD 21218-3934 |
| Arika Mahajan | Physical Therapy | Versatile Healthcare Services of Maryland Inc | 416 E 30th St, Baltimore, MD 21218-3934 |
| Nejama R Granada | Physical Therapy | Versatile Healthcare Services of Maryland Inc | 416 E 30th St, Baltimore, MD 21218-3934 |
| Olufemi Anifowose | Physical Therapy | Versatile Healthcare Services of Maryland Inc | 416 E 30th St, Baltimore, MD 21218-3934 |
| Dean Alexis | Occupational Therapy | Versatile Healthcare Services of Maryland Inc | 416 E 30th St, Baltimore, MD 21218-3934 |
| Daniel W Martin | Occupational Therapy | Versatile Healthcare Services of Maryland Inc | 416 E 30th St, Baltimore, MD 21218-3934 |
| Street Address |
416 E 30TH ST |
| City | BALTIMORE |
| State | MD |
| Zip | 21218-3934 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adeyinka Adepoju | Physical Therapy | Versatile Healthcare Services of Maryland Inc | 416 E 30th St, Baltimore, MD 21218-3934 |
| Patricia Kane | Occupational Therapy | Versatile Healthcare Services of Maryland Inc | 416 E 30th St, Baltimore, MD 21218-3934 |
| Monique Pertee | Occupational Therapy | Versatile Healthcare Services of Maryland Inc | 416 E 30th St, Baltimore, MD 21218-3934 |
| Arika Mahajan | Physical Therapy | Versatile Healthcare Services of Maryland Inc | 416 E 30th St, Baltimore, MD 21218-3934 |
| Nejama R Granada | Physical Therapy | Versatile Healthcare Services of Maryland Inc | 416 E 30th St, Baltimore, MD 21218-3934 |
| Olufemi Anifowose | Physical Therapy | Versatile Healthcare Services of Maryland Inc | 416 E 30th St, Baltimore, MD 21218-3934 |
| Dean Alexis | Occupational Therapy | Versatile Healthcare Services of Maryland Inc | 416 E 30th St, Baltimore, MD 21218-3934 |
| Daniel W Martin | Occupational Therapy | Versatile Healthcare Services of Maryland Inc | 416 E 30th St, Baltimore, MD 21218-3934 |
| Cecelia S Bowman | Clinical Social Worker | Versatile Healthcare Services of Maryland Inc | 416 E 30th St, Baltimore, MD 21218-3934 |
| Vishnupriya Ramasamy | Physical Therapy | Versatile Healthcare Services of Maryland Inc | 416 E 30th St, Baltimore, MD 21218-3934 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tazeen M Hashmi | Internal Medicine | 201 E University Hospital, Baltimore, MD 21218 | |
| Regina Anderson | Dermatology | 4100 N Charles St, Suite 114, Baltimore, MD 21218-1026 | |
| Nancy R Goldblatt | Clinical Social Worker | 1620 Roundhill Rd, Baltimore, MD 21218-2213 | |
| Robert J Snow | Clinical Social Worker | 3811 Canterbury Rd, Baltimore, MD 21218-2340 | |
| Sandra B Snow | Clinical Social Worker | 3811 Canterbury Rd, Baltimore, MD 21218-2340 | |
| Christy Mcdermott Wooton | Clinical Social Worker | 3811 Canterbury Rd, Baltimore, MD 21218-2340 | |
| Jonathan A Johnson | General Surgery | 3801 Canterbury Rd, Unit 711, Baltimore, MD 21218-2376 | |
| Alicia Morgan-cooper | Pediatric Medicine | Privia Medical Group,llc | One E University Pkwy, 109 Pmg_viped_baltimore Office, Baltimore, MD 21218-2432 |
| Patricia Marie Disharoon | Internal Medicine | 3414 Saint Paul St, Baltimore, MD 21218-2701 | |
| Diane F Gutterman | Psychiatry | 3501 Saint Paul St, Suite 142, Baltimore, MD 21218-2726 | |
| Find all physicians in zip 21218 | |||
| City | BALTIMORE |
| Zip Code | 21218 |
| Specialty | SPEECH LANGUAGE PATHOLOGIST |
| City + Specialty | BALTIMORE + SPEECH LANGUAGE PATHOLOGIST |
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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.