Tim Nice M.D. Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

35036891 Issued in OH

Legal business name

TIM NICE M.D. INC

Practice address

34600 Chardon Road
Suite 9
Willoughby Hills, OH 44094

Phone

(440) 585-5258

Fax

(440) 944-5278

NPI assigned

Aug 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Tim J Nice, M.D.NPI 1457442824

Title

Doctor

Phone

(440) 585-5258

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 1

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

• Tim J Nice, M.D.

  • Specialist
  • Willoughby Hills, OH
  • NPI 1457442824
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1407040918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34600 CHARDON ROAD",
            "address_2": "SUITE 9",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "44094",
            "telephone_number": "440-585-5258",
            "fax_number": "440-944-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34600 CHARDON ROAD",
            "address_2": "SUITE 9",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "44094",
            "telephone_number": "440-585-5258",
            "fax_number": "440-944-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM NICE M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "NICE",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "440-585-5258",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35036891",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0321851",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Cleveland Clinic Foundation
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• Lucy Thuita, RN
• Tim Nice MD Inc
• Timothy Levar DPM LLC
• Timothy Levar DPM LLC
• Sharon J. Tipton, LISW-S
• Aaliyah Tisder

• Specialist in Willoughby Hills, OH
• Providers in Willoughby Hills, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.