| John Stephan Nichols, | |
|
11750 W 2nd Pl, Suite 255, Lakewood, CO 80228-1575 | |
| (720) 321-8040 | |
| (720) 321-8041 |
| Full Name | John Stephan Nichols |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 41 Years |
| Location | 11750 W 2nd Pl, Lakewood, Colorado |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306856752 | NPI | - | NPPES |
| 01269190 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 26919 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parkview Medical Center, Inc | Pueblo, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Parkview Ancillary Services Corporation | 4385722511 | 273 |
| Poudre Valley Medical Group Llc | 9638208549 | 1992 |
| Entity Name | Parkview Ancillary Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982878765 PECOS PAC ID: 4385722511 Enrollment ID: O20080429000248 |
| Mailing Address | Practice Location Address |
|---|---|
| John Stephan Nichols, Po Box 6210, Farmington, NM 87499-6210 Ph: (505) 609-2258 | John Stephan Nichols, 11750 W 2nd Pl, Suite 255, Lakewood, CO 80228-1575 Ph: (720) 321-8040 |
John Lawrence Hudson, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 11750 W 2nd Pl, Ste 255, Lakewood, CO 80228 Phone: 720-321-8040 Fax: 720-321-8041 | |
Randall Zain Allison, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 11750 W 2nd Pl Ste 255, Lakewood, CO 80228 Phone: 720-321-8040 | |
Joshua Marshall Beckman, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 12596 W Bayaud Ave Ste 100, Lakewood, CO 80228 Phone: 720-638-7500 Fax: 720-812-5134 | |
Dr. Shaheryar Faruq Ansari, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 11750 W 2nd Pl Ste 255, Lakewood, CO 80228 Phone: 303-643-4117 Fax: 720-321-8041 | |
Lloyd W Mobley Iii, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 11750 W 2nd Pl Ste 255, Lakewood, CO 80228 Phone: 720-638-7500 Fax: 720-321-8041 |