Michael Edwin Samuel Nacol, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

F6987 Issued in TX

Practice address

3201 S Austin Ave
130
Georgetown, TX 78626-7537

Phone

(512) 863-7440

Fax

(512) 869-8716

NPI assigned

Oct 13, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: 4164-nacol-michael@direct.leadingreach.com

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.

• Robert P Wills MD PLLC

  • Interventional Pain Medicine Physician
  • West Lake Hills, TX
  • NPI 1326435769
  NPD (past)
• St. David'S Specialized Women'S Services, PLLC

  • Maternal & Fetal Medicine Physician
  • Austin, TX
  • NPI 1821229568
  NPD (past)

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262908800000",
    "number": "1114915030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 S AUSTIN AVE",
            "address_2": "130",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267537",
            "telephone_number": "512-863-7440",
            "fax_number": "512-869-8716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S AUSTIN AVE",
            "address_2": "130",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267537",
            "telephone_number": "512-863-7440",
            "fax_number": "512-869-8716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACOL",
        "first_name": "MICHAEL",
        "middle_name": "EDWIN SAMUEL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2010-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F6987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114924702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresiah S Musyoka, PMHNP
• Mydental at Georgetown PLLC
• Lauren Myers, LMFT ASSOCIATE
• Mylc, LLC
• Mytxtherapist PLLC
• Kunal Nagarsheth, PHARMD
• Brian Benjamin Nailling, PA-C
• Grant K Nakashima, DDS
• Namrata Sharma DMD PA
• Jeevantha Nanayakkara, FNP -BC

• Internal Medicine Physician in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.