Individual provider Active NPI

Currin Nichol, MD

  • Emergency Medicine Physician
  • Oakland Park, FL
National Provider Identifier
1013919299
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME48927 Issued in FL
Practice address
5757 N Dixie Hwy
Oakland Park, FL 33334-4135
Phone
(800) 476-8646
Fax
(919) 382-3210
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME48927 FL Primary
Emergency Medicine Physician 207P00000X C-6460 AR

Addresses

Primary practice location

5757 N Dixie Hwy
Oakland Park, FL 33334-4135

Mailing address

PO Box 551014
Tampa, FL 33655-1014
Phone (800) 476-8646

Other identifiers 3

IdentifierTypeStateIssuer
043758100MedicaidFL
010038992OtherFLRAILROAD MEDICARE
94400OtherFLBCBS OF FL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME48727FLMDAnesthesiology Physician
C-6460ARMDEmergency Medicine Physician
ME48927FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medfast Urgent Care Centers, LLC CurrentSince Aug 28, 2018 Accepting new patients
Medfast Urgent Care Centers LLC CurrentSince Aug 28, 2018 Accepting new patients
Wuesthoff Emergency Physicians PA Emergency Medicine PastSince Aug 1, 2004 Accepting new patients
North Ridge Emergency Physicians, PA Emergency Medicine Past Accepting new patients
Wuesthoff Emergency Physicians-Melbourne PA Emergency Medicine PastSince Apr 8, 2004 Accepting new patients

Locations

7925 N Wickham Rd
Ste A
Melbourne, FL 32940

5005 Port St John Pkwy
Port St John, FL 32927
Phone (321) 504-0556

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1013919299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551014",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336551014",
            "telephone_number": "800-476-8646",
            "fax_number": "919-382-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 N DIXIE HWY",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333344135",
            "telephone_number": "800-476-8646",
            "fax_number": "919-382-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOL",
        "first_name": "CURRIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME48927",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "C-6460",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043758100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "010038992",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "94400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

Verify at the official NPI Registry.