| Mr Cameron Nichols, PA | |
|
1380 E Medical Center Dr, St George, UT 84790-2123 | |
| (435) 251-1000 | |
| Not Available |
| Full Name | Mr Cameron Nichols |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1380 E Medical Center Dr, St George, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730411455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 8072567-1206 (Utah) | Primary |
| 363A00000X | Physician Assistant | 4598 (Arizona) | Secondary |
| Entity Name | Emergency Physicians Southwest PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912053752 PECOS PAC ID: 2264538529 Enrollment ID: O20070502000382 |
| Entity Name | Arizona Emergency Medicine Specialists PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134439706 PECOS PAC ID: 8921295684 Enrollment ID: O20110208000837 |
| Entity Name | Emergency Group of Arizona Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215275433 PECOS PAC ID: 1355596644 Enrollment ID: O20130313000442 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Cameron Nichols, PA Po Box 30180, Salt Lake City, UT 84130-0180 Ph: Not Available | Mr Cameron Nichols, PA 1380 E Medical Center Dr, St George, UT 84790-2123 Ph: (435) 251-1000 |
Nicholas Paul Wittwer, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2825 E Mall Dr, St George, UT 84790 Phone: 435-251-0400 Fax: 435-251-0401 |
Rachel Renae Rudd Thompson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1380 E Medical Center Dr Ste 3100, St George, UT 84790 Phone: 435-251-2740 |
Skyler Vance Buck, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1380 E Medical Center Dr Ste 1500, St George, UT 84790 Phone: 435-251-2500 Fax: 435-251-2525 |
Malcolm T Maxwell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2825 E Mall Dr, St George, UT 84790 Phone: 435-628-9393 Fax: 435-628-9382 |
Jake Fawcett Johnson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2351 S River Rd Ste 5, St George, UT 84790 Phone: 855-871-0841 |
Armadeus Davidson, PA-S Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1584 W 1370 N, St George, UT 84770 Phone: 360-620-3233 |
Wolfgang Schulthess, PA-S Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2822 W Silver Cholla Ln, St George, UT 84770 Phone: 760-669-7462 |