MR. PHILLIP TODD NICHOLS MD NPI 1396744652

NPI Information

  • NPI: 1396744652
  • Provider Name: MR. PHILLIP TODD NICHOLS, MD
  • Classification: Otolaryngology - 207Y00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 500 DONNALLY ST
    SUITE 200
    CHARLESTON, WV
    ZIP 25301
  • Phone: (304) 342-0124

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NPI Details

MR. Phillip Todd Nichols, MD is an otolaryngology in Charleston, WV with 31 years of experience. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. MR. Phillip Todd Nichols, MD NPI is 1396744652. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1994

The provider's business location address is:

500 DONNALLY ST
SUITE 200
CHARLESTON, WV
ZIP 25301-648
Phone: (304) 342-0124
Fax: (304) 340-2204

The NPI 1396744652 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Removal of impacted ear wax (HCPCS:69210)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Diagnostic exam of voice box using a flexible endoscope (HCPCS:31575)
  • Comprehensive hearing and speech recognition test (HCPCS:92557)
  • Test to assess middle ear function (HCPCS:92567)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 7/19/2005 and was last updated on 5/28/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Y00000XOtolaryngology19053WEST VIRGINIANo
2207YX0007XOtolaryngologyPlastic Surgery within the Head & Neck0101273372VIRGINIANo
3207Y00000XOtolaryngology0101273372VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1040014129OTHERWEST VIRGINIARR MEDICARE
21157768001OTHERWEST VIRGINIACIGNA
30300079000MEDICAIDWEST VIRGINIA
47979026OTHERWEST VIRGINIAAETNA
5550595497023OTHERWEST VIRGINIABC/BS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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