J TIMOTHY NICHOLS D.O. NPI 1578569695

NPI Information

NPI: 1578569695
Provider Name: J TIMOTHY NICHOLS, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
101 N GIRLS SCHOOL RD
INDIANAPOLIS, IN
ZIP 46214
Phone: (317) 247-0201
Get Directions

J Timothy Nichols, D.O. is a family medicine in Indianapolis, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. J Timothy Nichols, D.O. NPI is 1578569695. 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:

101 N GIRLS SCHOOL RD
INDIANAPOLIS, IN
ZIP 46214-963
Phone: (317) 247-0201
Fax: (317) 481-6756

The NPI 1578569695 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 enumeration date for this NPI number is 6/23/2005 and was last updated on 6/11/2015.

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
1	207Q00000X	Family Medicine		02000537A	INDIANA	Yes

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
1	100062200	MEDICAID	INDIANA
2	P01391909	OTHER	INDIANA	RAIL ROAD PTAN
3	000000081248	OTHER	INDIANA	BLUE CROSS BLUE SHIELD
4	H08235	MEDICARE UPIN	INDIANA
5	266180449	MEDICARE PIN	INDIANA

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: 11/14/2023

NPI Synchronization or Removal

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