Active NPI
Maurice Eugene Nida, DO
- Internal Medicine Physician
- Norton, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0102049965
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006084877 | Medicaid | VA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 IncDickenson Community Hospital, Inc.Norton Community Physician Services LLC
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
- Lee County Community Hospital
- Wellmont Holston Valley Medical Center
- Johnson City Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102049965 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dickenson Medical Associates a Department of Dickenson Community Hospi | Internal Medicine | Current | Accepting new patients |
| Dickenson Community Hospital, Inc. | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Dickenson Community Hospital, Inc | Current | Accepting new patients | |
| Norton Community Physician Services LLC | Internal Medicine | Current | Accepting new patients |
| Norton Community Physician Services LLC | Internal Medicine | Current | Accepting new patients |
| Wellmont Medical Associates Inc | Current | 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.
-
- Internal Medicine Physician
- Norton, VA
- NPI 1861674160
Internal Medicine, VA
-
- Psychiatric Hospital Unit
- Clintwood, VA
- NPI 1376933580
-
- Rural Health Clinic/Center
- Clintwood, VA
- NPI 1952072407
-
- Pulmonary Disease Physician
- Kingsport, TN
- NPI 1780986257
-
- Rural Health Clinic/Center
- Clintwood, VA
- NPI 1871517151
Internal Medicine
-
- Internal Medicine Physician
- Pennington Gap, VA
- NPI 1841098175
Internal Medicine
-
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
-
- Emergency Medicine Physician
- Clintwood, VA
- NPI 1891706008
-
- Emergency Medical Services (Emergency Medicine) Physician
- Norton, VA
- NPI 1295955367
-
- Internal Medicine Physician
- Big Stone Gap, VA
- NPI 1619095403
Internal Medicine
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1972606465
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.