Organization Active NPI

Tim Nice MD Inc

  • Non-Pharmacy Dispensing Site
  • Willoughby Hills, OH
National Provider Identifier
1366980500
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
35036891 Issued in OH
Legal business name
TIM NICE MD INC
Practice address
34600 Chardon Rd
Suite 9
Willoughby Hills, OH 44094-8480
Phone
(440) 585-5258
NPI assigned
Feb 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Authorized official

Name
Dr. Timothy Nice
Title
Owner
Phone
(440) 585-5258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X 35036891 OH Primary

Addresses

Primary practice location

34600 Chardon Rd
Suite 9
Willoughby Hills, OH 44094-8480

Mailing address

34600 Chardon Rd
Suite 9
Willoughby Hills, OH 44094-8480

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1366980500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34600 CHARDON RD",
            "address_2": "SUITE 9",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440948480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34600 CHARDON RD",
            "address_2": "SUITE 9",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440948480",
            "telephone_number": "440-585-5258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM NICE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "NICE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-585-5258",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "OH",
            "license": "35036891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby Hills, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.