Organization Active NPI

Nick Nicholson, M.D., P.a.

  • Surgery Physician
  • Plano, TX
National Provider Identifier
1437372406
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
L1953 Issued in TX
Legal business name
NICK NICHOLSON, M.D., P.A.
Practice address
8080 Independence Pkwy
Suite 115
Plano, TX 75025-4000
Phone
(972) 494-3100
Fax
(972) 487-5646
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Authorized official

Name
William Daniel Nicholson IV, M.D.
Title
General Surgeon
Phone
(214) 213-9120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X L1953 TX Primary

Addresses

Primary practice location

8080 Independence Pkwy
Suite 115
Plano, TX 75025-4000

Mailing address

5000 Legacy Dr Ste 200
Plano, TX 75024-3373
Phone (972) 494-3100

National Provider Directory

National Provider Directory

Locations

700 Walter Reed Blvd
Ste 301
Garland, TX 75042
Phone (972) 485-2000

8080 Independence Pkwy
Ste 115
Plano, TX 75025
Phone (972) 494-3100

5425 W Spring Creek Pkwy
Ste 140
Plano, TX 75024
Phone (972) 494-3100

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1437372406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 LEGACY DR STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243373",
            "telephone_number": "972-494-3100",
            "fax_number": "972-608-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 INDEPENDENCE PKWY",
            "address_2": "SUITE 115",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750254000",
            "telephone_number": "972-494-3100",
            "fax_number": "972-487-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICK NICHOLSON, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "GENERAL SURGEON",
        "authorized_official_telephone_number": "214-213-9120",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "L1953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.