TIM NICE M.D. INC NPI 1407040918

NPI Information

  • NPI: 1407040918
  • Provider Name: TIM NICE M.D. INC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 34600 CHARDON ROAD
    SUITE 9
    WILLOUGHBY HILLS, OH
    ZIP 44094
  • Phone: (440) 585-5258

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NPI Details

TIM NICE M.D. INC is a specialist in Willoughby Hills, OH. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. TIM NICE M.D. INC NPI is 1407040918. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

34600 CHARDON ROAD
SUITE 9
WILLOUGHBY HILLS, OH
ZIP 44094
Phone: (440) 585-5258
Fax: (440) 944-5278

The provider's authorized official is Tim J Nice .
The authorized official title is Doctor and has the following contact phone number (440) 585-5258.

The enumeration date for this NPI number is 8/29/2007 and was last updated on 1/7/2011.

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
1225100000XPhysical TherapistNo
2174400000XSpecialist35036891OHIOYes

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
14202410001MEDICARE NSC
20321851MEDICAIDOHIO
30404012MEDICARE PINOHIO

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: 11/21/2025

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