David W McNichols, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

0361036581 Issued in IL

Practice address

414 W Virginia Ave
Effingham, IL 62401-2258

Phone

(217) 342-9738

Fax

(217) 342-9806

NPI assigned

Apr 18, 2006

Last updated

Mar 3, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Dr. D W McNichols Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Effingham Urology Associates,S.C.

  • Health Service Clinic/Center
  • Effingham, IL
  • NPI 1902911431
  NPD

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1144285826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1169",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624011169",
            "telephone_number": "217-342-9738",
            "fax_number": "217-342-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 W VIRGINIA AVE",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012258",
            "telephone_number": "217-342-9738",
            "fax_number": "217-342-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNICHOLS",
        "first_name": "DAVID",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "0361036581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2500053",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE IDENT.#",
            "identifier": "340018705",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "451985",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHALLIANCE",
            "identifier": "068148",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CC9824",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0361036581",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "D",
            "last_name": "MCNICHOLS",
            "middle_name": "W",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sheryl Lynn McGee, M.A., CCC-SLP
• Patricia McHugh, RD, LDN
• Rachel Suzanne McKay, OD
• McLean Investments, LLC
• Margo S McMahon, FNP-BC
• Cheryl Means, COTA/L
• Medadvance Illinois PLLC
• Elizabeth L Meinhart, FNP-BC
• Margaret Jane Merry-Niebrugge, DMD
• Ashley Lynn Meseke, DPT

• Urology Physician in Effingham, IL
• Providers in Effingham, IL by specialty
• Urology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.