| James Nichols MD, Ltd. | |
|
13838 S 46th Pl Phoenix AZ 85044-7800 | |
| (480) 759-5151 | |
| Not Available |
| Full Name | James Nichols MD, Ltd. |
|---|---|
| Speciality | Clinic/Center |
| Location | 13838 S 46th Pl, Phoenix, Arizona |
| Authorized Official Name and Position | James Robert Nichols (PRESIDENT) |
| Authorized Official Contact | 4807595151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James Nichols MD, Ltd. 13838 S 46th Pl Phoenix AZ 85044-7800 Ph: (480) 759-5151 | James Nichols MD, Ltd. 13838 S 46th Pl Phoenix AZ 85044-7800 Ph: (480) 759-5151 |
| NPI Number | 1235338054 |
|---|---|
| Provider Enumeration Date | 07/12/2007 |
| Last Update Date | 07/12/2007 |
| Medicare PECOS PAC ID | 1759474455 |
|---|---|
| Medicare Enrollment ID | O20070912000050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235338054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 29489 (Arizona) | Primary |
| Provider Name | Trevor W Whitmore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649238783 PECOS PAC ID: 0547285165 Enrollment ID: I20051012000470 |
| Provider Name | James R Nichols |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497746630 PECOS PAC ID: 3072529577 Enrollment ID: I20060221000476 |
| Provider Name | Michelle L Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639359417 PECOS PAC ID: 5193896520 Enrollment ID: I20211221002842 |
| Provider Name | Ronda Reahjean Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679300289 PECOS PAC ID: 5698299469 Enrollment ID: I20250414002418 |
| Provider Name | Sasha Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457230971 PECOS PAC ID: 1456844224 Enrollment ID: I20260324002399 |
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