Thomas D Nicholas MD Daniel J Dwyer MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

THOMAS D NICHOLAS MD DANIEL J DWYER MD

Practice address

111 W High St
Rockville, IN 47872-1735

Phone

(765) 569-2057

Fax

(765) 569-2340

NPI assigned

Oct 19, 2005

Organization subpart

No

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

Authorized official

Name

Daniel J Dwyer, MD

Title

Partner

Phone

(765) 569-2057

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rockville Town Square Clinic Doing business as

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1164411344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W HIGH ST",
            "city": "ROCKVILLE",
            "state": "IN",
            "postal_code": "478721735",
            "telephone_number": "765-569-2057",
            "fax_number": "765-569-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W HIGH ST",
            "city": "ROCKVILLE",
            "state": "IN",
            "postal_code": "478721735",
            "telephone_number": "765-569-2057",
            "fax_number": "765-569-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS D NICHOLAS MD DANIEL J DWYER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "DWYER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "765-569-2057",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CD8603",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockville Town Square Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Larry Edwin Smith, FNP
• Rebecca Smith, LCSW
• Amber Stinson, MS, LMHC
• John Franklin Swaim, MD
• The Narrow Gate LLC
• Thomas D Nicholas MD Daniel J Dwyer MD
• Sheri Trendelman, LMHC
• Audrey Turchi
• Union Hospital Inc
• Union Hospital, Inc.

• Family Medicine Physician in Rockville, IN
• Providers in Rockville, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.