Active NPI
Nichols Med Eval, LLC
- Hospitalist Physician
- Many, LA
National Provider Identifier
1164852307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 205051
- Legal business name
- NICHOLS MED EVAL, LLC
- Practice address
- 240 Highland Drive
Many, LA 71449 - Phone
- (318) 617-6662
- NPI assigned
- Nov 26, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Thomas Nichols, MD
- Title
- MD/Sole Owner
- Phone
- (318) 617-6662
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 205051 | LA | Primary |
Addresses
Primary practice location
240 Highland Drive
Many, LA 71449
Mailing address
PO Box 5313
Shreveport, LA 71135-5313
Phone (318) 798-4539
National Provider Directory
National Provider Directory- Tax ID family
- Nichols Med Eval LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Physician
- Many, LA
- NPI 1720419450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1385424000000",
"number": "1164852307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5313",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711355313",
"telephone_number": "318-798-4539",
"fax_number": "318-798-4601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 HIGHLAND DRIVE",
"city": "MANY",
"state": "LA",
"postal_code": "71449",
"telephone_number": "318-617-6662"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICHOLS MED EVAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-26",
"last_updated": "2013-11-26",
"status": "A",
"authorized_official_last_name": "NICHOLS",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "MD/SOLE OWNER",
"authorized_official_telephone_number": "318-617-6662",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Hospitalist",
"state": "LA",
"license": "205051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Many, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.