North Valley Orthopaedic Medical Group, Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G35731 Issued in CA

Legal business name

NORTH VALLEY ORTHOPAEDIC MEDICAL GROUP, INC

Doing business as

Jack C Nichols II

Practice address

1230 East St
Suite a
Redding, CA 96001-0821

Phone

(530) 246-2430

Fax

(530) 246-1907

NPI assigned

Aug 18, 2007

Last updated

May 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jack C Nichols II, M.D.NPI 1528007036

Title

President of Corporation

Phone

(530) 246-2430

Specialties & licenses 1

Addresses

Other names 1

• Jack C Nichols II Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jack Clifford Nichols II, MD

  • Orthopaedic Surgery Physician
  • Redding, CA
  • NPI 1528007036
  Authorized official Same address or phone
• Norman Michael Verhoog, MD

  • Orthopaedic Surgery Physician
  • Red Bluff, CA
  • NPI 1558388066
  NPD (past)
• Dale Allen Adishian, MD

  • Orthopaedic Surgery Physician
  • Coupeville, WA
  • NPI 1497785612
  NPD (past)

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

{
    "created_epoch": "1187395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1700079241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848914",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "088248914",
            "telephone_number": "530-246-2430",
            "fax_number": "530-246-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 EAST ST",
            "address_2": "SUITE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010821",
            "telephone_number": "530-246-2430",
            "fax_number": "530-246-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH VALLEY ORTHOPAEDIC MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-18",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "530-246-2430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G35731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jack C Nichols II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Valley Developmental Services Inc.
• North Valley Developmental Services Inc.
• North Valley Developmental Services Inc. (NVDS Inc - Christian)
• North Valley Medical Corporation
• North Valley Medical Corporation
• North Woods Discovery School
• Northern California Family Counseling and Wellness Center Inc
• Northern California Rehabilitation Hospital LLC (Vibra Hospital of Northern California)
• Northern California Rehabilitation Hospital, LLC
• Northern California Surgical Group a Med Corp

• Orthopaedic Surgery Physician in Redding, CA
• Providers in Redding, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.