STEPHEN NICHOLLS M.D. NPI 1437187598

NPI Information

  • NPI: 1437187598
  • Provider Name: STEPHEN NICHOLLS, M.D.
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 200 NE MOTHER JOSEPH PL
    SUITE 330
    VANCOUVER, WA
    ZIP 98664
  • Phone: (360) 514-1854

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NPI Details

Stephen Nicholls, M.D. is a vascular surgery surgery in Vancouver, WA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Stephen Nicholls, M.D. NPI is 1437187598. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

200 NE MOTHER JOSEPH PL
SUITE 330
VANCOUVER, WA
ZIP 98664-299
Phone: (360) 514-1854
Fax: (360) 514-6063

The NPI 1437187598 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/29/2006 and was last updated on 9/30/2016.

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
1174400000XSpecialist23966WASHINGTONNo
22086S0129XSurgeryVascular SurgeryMD03825ILPENNSYLVANIANo
32086S0129XSurgeryVascular SurgeryMD00023966WASHINGTONYes

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
1A14860MEDICARE UPIN
2G8887857MEDICARE PINWASHINGTON
3501844FLTMEDICARE PINPENNSYLVANIA
40014958600004MEDICARE PINPENNSYLVANIA
58105322MEDICAIDWASHINGTON

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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