R C Nichols Jr MD PA

Primary specialty

Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X

License

ME0056785 Issued in FL

Legal business name

R C NICHOLS JR MD PA

Practice address

615 N Bonita Ave
Bay Regional Cancer Center
Panama City, FL 32401-3623

Phone

(850) 747-6972

Fax

(850) 747-6584

NPI assigned

Apr 14, 2008

Last updated

Apr 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Romaine C Nichols, M.D.NPI 1679555270

Title

Medical Director

Phone

(850) 769-0009

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Romaine Charles Nichols Jr., M.D.

  • Radiation Oncology Physician
  • Jacksonville, FL
  • NPI 1679555270
  NPD (past) Authorized official

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1235303009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2506",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324022506",
            "telephone_number": "850-769-0009",
            "fax_number": "850-769-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N BONITA AVE",
            "address_2": "BAY REGIONAL CANCER CENTER",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013623",
            "telephone_number": "850-747-6972",
            "fax_number": "850-747-6584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R C NICHOLS JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "ROMAINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "850-769-0009",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "FL",
            "license": "ME0056785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF FLORIDA",
            "identifier": "15097",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quality Care Providers Homemaker & Companion LLC
• Tanya Bernadette Quarterman, CH, CI
• Brandy Rae Queijsen, LCSW
• Stephanie Quesada Moore, OD
• Cathy Sue Quinn, LMHC
• R D Smith, Incorporated (Rachael Smith)
• R J Gamad M.D.,P.a. (Rogelio J Gamad M.D.,P.A.)
• Ingrid J Rachesky, M.D.
• Andrzej Raczynski, LMT
• Lulie Radford, PT

• Radiation Oncology Clinic/Center in Panama City, FL
• Providers in Panama City, FL by specialty
• Radiation Oncology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.