Individual provider Active NPI

Maurice Eugene Nida, DO

  • Internal Medicine Physician
  • Norton, VA
National Provider Identifier
1285601344
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0102049965 Issued in VA
Practice address
295 Wharton LN
Norton, VA 24273-1541
Phone
(276) 679-0321
Fax
(276) 679-6498
NPI assigned
Mar 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0102049965 VA Primary

Addresses

Primary practice location

295 Wharton LN
Norton, VA 24273-1541

Mailing address

999 Executive Park Blvd
Suite 201
Kingsport, TN 37660-4632
Phone (423) 224-3250

Other identifiers 1

IdentifierTypeStateIssuer
006084877MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080602000888 VA Practitioner - Internal Medicine 9931279981 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
West Virginia School of Osteopathic Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmont Medical Associates IncGroup PAC ID 8123291739, 432 clinicians
Dickenson Community Hospital, Inc.Group PAC ID 8921096561, 8 clinicians
Norton Community Physician Services LLCGroup PAC ID 1557431665, 29 clinicians

Practice addresses (Care Compare)

1990 Holton Ave E
Big Stone Gap, VA 24219-3350
Phone (423) 230-8200

312 Hospital Dr
Clintwood, VA 24228-6786
Phone (276) 926-0330

364 Hospital Dr
Clintwood, VA 24228-6786
Phone (276) 926-0200

96 15TH St NW
Suite 111
Norton, VA 24273-1102
Phone (276) 439-1871

Hospital & facility affiliations

  • Lonesome Pine Hospital Hospital, Big Stone Gap, VA, CCN 490114
  • Lee County Community Hospital Hospital, Pennington Gap, VA, CCN 491309
  • Wellmont Holston Valley Medical Center Hospital, Kingsport, TN, CCN 440017
  • Johnson City Medical Center Hospital, Johnson City, TN, CCN 440063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0102049965VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dickenson Medical Associates a Department of Dickenson Community Hospi Internal Medicine CurrentSince Dec 5, 2022 Accepting new patients
Dickenson Community Hospital, Inc. Current Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Jul 1, 2012 Accepting new patients
Dickenson Community Hospital, Inc CurrentSince Dec 5, 2022 Accepting new patients
Norton Community Physician Services LLC Internal Medicine CurrentSince Aug 24, 2021 Accepting new patients
Norton Community Physician Services LLC Internal Medicine CurrentSince Aug 24, 2021 Accepting new patients
Wellmont Medical Associates Inc CurrentSince Jul 1, 2012 Accepting new patients
Emcare Physician Providers Inc. Past Accepting new patients
Wellmont Physician Services Inc Internal Medicine Past Accepting new patients
Norton Community Hospital Past Accepting new patients

Locations

391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406

1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111

312 Hospital Dr
Clintwood, VA 24228
Phone (276) 439-1450

364 Hospital Dr
Clintwood, VA 24228
Phone (276) 926-0200

100 15th St NW
#307
Norton, VA 24273
Phone (276) 439-1140

295 Wharton Ln NE
Norton, VA 24273
Phone (276) 679-0321

98 15th St NW
Ste 208
Norton, VA 24273
Phone (276) 679-7600

96 15th St NW
Ste 104
Norton, VA 24273
Phone (540) 679-5048

100 15th St NW
Norton, VA 24273
Phone (276) 439-1000

96 15th St NW
Ste 111
Norton, VA 24273
Phone (276) 439-1872

Organizations & group practices 12

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1285601344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 EXECUTIVE PARK BLVD",
            "address_2": "SUITE 201",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604632",
            "telephone_number": "423-224-3250",
            "fax_number": "423-224-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 WHARTON LN",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242731541",
            "telephone_number": "276-679-0321",
            "fax_number": "276-679-6498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIDA",
        "first_name": "MAURICE",
        "middle_name": "EUGENE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0102049965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006084877",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton, VA

Sources for this page

Verify at the official NPI Registry.