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DR. JARED WADE NICHOLS D.O. NPI 1982018727


NPI Information

NPI: 1982018727
Provider Name: DR. JARED WADE NICHOLS, D.O.
Classification: Neuromusculoskeletal Medicine & OMM - 204D00000X
Entity Type: Individual
Organization: COMMUNITY MEMORIAL HOSPITAL DISTRICT

PECOS Registration: Yes

Address:
2901 SAINT JOHNS BLVD
JOPLIN, MO
ZIP 64804
Phone: (417) 208-0733
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DR. Jared Wade Nichols, D.O. is a neuromusculoskeletal medicine omm in Joplin, MO with 10 years of experience. The provider is the Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. DR. Jared Wade Nichols, D.O. NPI is 1982018727. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: AT STILL UNIVERSITY, ARIZONA SCHOOL OF DENTISTRY & ORAL HLTH
Graduation Year:2014

The provider's business location address is:

2901 SAINT JOHNS BLVD
JOPLIN, MO
ZIP 64804-598
Phone: (417) 208-0733

The NPI 1982018727 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 6/19/2014 and was last updated on 1/4/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine2016007756MISSOURINo
2204D00000XNeuromusculoskeletal Medicine & OMM2016007756MISSOURIYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.