Thomas B Nittler, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

2002009603 Issued in MO

Practice address

3207 W Truman Blvd
Ste a
Jefferson City, MO 65109-0892

Phone

(573) 298-6855

Fax

(844) 270-7713

NPI assigned

Sep 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

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 and National Provider Directory roles.

• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1477548352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 W TRUMAN BLVD",
            "address_2": "STE A",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651090892",
            "telephone_number": "573-298-6855",
            "fax_number": "844-270-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3207 W TRUMAN BLVD",
            "address_2": "STE A",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651090892",
            "telephone_number": "573-298-6855",
            "fax_number": "844-270-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NITTLER",
        "first_name": "THOMAS",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2002009603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Nichols, MD
• Pagena M Nichols, LPC
• Jennifer Nicklas, CCC-SLP
• Jessica Marie Nicolaescu, MOT,OTR/L
• Aimee Lou Nienstedt Dickson, LCSW, LCSW, PMH-C
• Jill Nitz
• Mark Nitz
• Terry Joseph Nold, D.O.
• Kristopher K Nolph, DDS
• Peg Noordster, LCSW

• Emergency Medicine Physician in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Emergency Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.