Organization Active NPI

W. John Nicholas, MD, PC

  • Cardiovascular Disease Physician
  • Joplin, MO
National Provider Identifier
1457784985
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
W. JOHN NICHOLAS, MD, PC
Practice address
3202 McIntosh Cir
Ste LL03
Joplin, MO 64804-3646
Phone
(417) 347-6400
Fax
(417) 347-6404
NPI assigned
Aug 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Authorized official

Name
William John Nicholas, MD
Title
Physician
Phone
(417) 347-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

3202 McIntosh Cir
Ste LL03
Joplin, MO 64804-3646

Mailing address

PO Box 4336
Joplin, MO 64803-4336
Phone (417) 347-6400

National Provider Directory

National Provider Directory

Locations

1902 S US Highway 59
Bldg E
Parsons, KS 67357
Phone (620) 421-1081

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": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1457784985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4336",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648034336",
            "telephone_number": "417-347-6400",
            "fax_number": "417-347-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 MCINTOSH CIR",
            "address_2": "STE LL03",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043646",
            "telephone_number": "417-347-6400",
            "fax_number": "417-347-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W. JOHN NICHOLAS, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "NICHOLAS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "417-347-6400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.