Mike Lyle Nicholson (NPI# 1184808701, PAC ID# 9931466877) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1184808701 |
| PAC ID by PECOS | 9931466877 |
| Professional Enrollment ID | I20171130001114 |
| Full Name | Mike Lyle Nicholson |
| Organization Legal Name | UNITY CARE NORTHWEST |
| Address |
1616 Cornwall Ave Suite 205 Bellingham WA 98225-4642 |
| Phone Number | 3606766177 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 7911897699 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1616 Cornwall Ave, Suite 205, Bellingham, WA 98225-4642 | 3606766177 | UNITY CARE NORTHWEST |
| Organization Legal Name | UNITY CARE NORTHWEST |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eleanor Walker | Nurse Practitioner | Unity Care Northwest | 220 Unity St, Bellingham, WA 98225-4429 |
| Elisabeth C L Gehringer | Family Medicine | Unity Care Northwest | 220 Unity St, Bellingham, WA 98225-4429 |
| Richard R Sprague | Clinical Social Worker | Unity Care Northwest | 1616 Cornwall Ave, Suite 205, Bellingham, WA 98225-4642 |
| Sharon E Junge | Family Medicine | Unity Care Northwest | 220 Unity St, Bellingham, WA 98225-4429 |
| Katlin Christine Wojnicki | Nurse Practitioner | Unity Care Northwest | 220 Unity St, Bellingham, WA 98225-4429 |
| Adelaide H Chute | Nurse Practitioner | Unity Care Northwest | 220 Unity St, Bellingham, WA 98225-4429 |
| John Tilley Jr. | Family Medicine | Unity Care Northwest | 220 Unity St, Bellingham, WA 98225-4429 |
| Aaron T Moore | Psychiatry | Unity Care Northwest | 1616 Cornwall Ave, Suite 205, Bellingham, WA 98225-4642 |
| Barbara M Clure | Family Medicine | Unity Care Northwest | 220 Unity St, Bellingham, WA 98225-4429 |
| Colin W Goggin | Family Medicine | Unity Care Northwest | 220 Unity St, Bellingham, WA 98225-4429 |
| Street Address |
1616 CORNWALL AVE SUITE 205 |
| City | BELLINGHAM |
| State | WA |
| Zip | 98225-4642 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trevor C Ledain | Physical Therapy | Performance Physical Therapy Inc Ps | 1616 Cornwall Ave, Suite B, Bellingham, WA 98225-4648 |
| Mark L Jamantoc | Physical Therapy | Performance Physical Therapy Inc Ps | 1616 Cornwall Ave, Suite B, Bellingham, WA 98225-4648 |
| Richard R Sprague | Clinical Social Worker | Unity Care Northwest | 1616 Cornwall Ave, Suite 205, Bellingham, WA 98225-4642 |
| Angela D Beaupain | Physical Therapy | Performance Physical Therapy Inc Ps | 1616 Cornwall Ave, Suite B, Bellingham, WA 98225-4648 |
| Aaron T Moore | Psychiatry | Unity Care Northwest | 1616 Cornwall Ave, Suite 205, Bellingham, WA 98225-4642 |
| Brian J Weeda | Physical Therapy | Performance Physical Therapy Inc Ps | 1616 Cornwall Ave, Suite B, Bellingham, WA 98225-4648 |
| Brenda Wagner Henoch | Physical Therapy | Performance Physical Therapy Inc Ps | 1616 Cornwall Ave, Suite B, Bellingham, WA 98225-4648 |
| Peter Charron | Optometry | 1616 Cornwall Ave, Suite 105, Bellingham, WA 98225-4642 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Eby | Physical Therapy | Bellingham Physical Therapy LLC | 306 36 St, Bellingham, WA 98225 |
| Fredy Paul Hunziker | Chiropractic | 3200 Northwest Ave, Bellingham, WA 98225-1318 | |
| Matthias Karl Maas | Chiropractic | 3200 Northwest Ave, Bellingham, WA 98225-1318 | |
| Geoffrey Joseph Mcallister | Podiatry | Bellingham Foot Clinic Inc Ps | 520 Birchwood Ave, Suite A, Bellingham, WA 98225-1700 |
| Nathan Larson | Podiatry | Bellingham Foot Clinic Inc Ps | 520 Birchwood Ave, Suite A, Bellingham, WA 98225-1700 |
| Richard L Skudlarick | Podiatry | Bellingham Foot Clinic Inc Ps | 520 Birchwood Ave, Bellingham, WA 98225-1700 |
| Glenn Green | Optometry | 450 Birchwood Ave, Suite B, Bellingham, WA 98225-1702 | |
| Glenna S Allbritton | Nurse Practitioner | Mount Baker Rheumatology Center Pllc | 500 Birchwood Ave C, Bellingham, WA 98225-1703 |
| Min Xu | Rheumatology | Mount Baker Rheumatology Center Pllc | 500 Birchwood Ave C, Bellingham, WA 98225-1703 |
| Jeffrey A Larson | Optometry | Mt. Baker Vision Clinc | 720 Birchwood Ave, Bellingham, WA 98225-1714 |
| Find all physicians in zip 98225 | |||
| City | BELLINGHAM |
| Zip Code | 98225 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | BELLINGHAM + CLINICAL SOCIAL WORKER |
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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.