Organization Active NPI

Nichols Med Eval, LLC

  • Hospitalist Physician
  • Many, LA
National Provider Identifier
1164852307
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
205051 Issued in LA
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

Updated by the provider on Nov 26, 2013

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)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.