Tim J Nice, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

35036891 Issued in OH

Practice address

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

Phone

(440) 585-5258

Fax

(440) 944-5278

NPI assigned

Sep 28, 2006

Last updated

Jun 16, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Orthopedic Surgery

Education

Loyola University of Chicago, Stritch School of Medicine, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Tim Nice M.D. Inc

  • Specialist
  • Willoughby Hills, OH
  • NPI 1407040918
  Medicare reassignment Authorized official
• Tim Nice MD Inc

  • Non-Pharmacy Dispensing Site
  • Willoughby Hills, OH
  • NPI 1366980500
  NPD (past)

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

• Cleveland Clinic Health System - East Region

  dba Hillcrest Hospital

  • General Acute Care Hospital
  • Mayfield HTS, OH
  • NPI 1902858152
  Care Compare affiliation

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1457442824",
    "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",
            "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 RD",
            "address_2": "SUITE 9",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440948480",
            "telephone_number": "440-585-5258",
            "fax_number": "440-944-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICE",
        "first_name": "TIM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35036891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO LICENSE",
            "identifier": "35036891",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "34136753400",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cristina Nedelcu, PHD
• Edwin Scott Nethery, L.P.N.
• Rakaysia N'Shae Newberry
• Aaron James Nixon, QMHS
• Payton Noggy
• Te'Ana Norris
• North Eastern Ohio Podiatry Group LLC
• Nicole Lynn O'Donnell, LPCC

• 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 Jun 16, 2010; 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.

Verify at the official NPI Registry.