James Thomas Nichols Jr MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JAMES THOMAS NICHOLS JR MD PA

Practice address

1315 Garden St
Titusville, FL 32796-3312

Phone

(321) 268-0128

Fax

(321) 268-0668

NPI assigned

Apr 12, 2010

Last updated

Apr 12, 2010By 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

James T Nichols Jr., M.D.NPI 1003842048

Title

Owner

Phone

(321) 268-0128

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• James T Nichols, MD

  • Family Medicine Physician
  • Titusville, FL
  • NPI 1003842048
  Authorized official Same address or phone

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1710203112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327963312",
            "telephone_number": "321-268-0128",
            "fax_number": "321-268-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327963312",
            "telephone_number": "321-268-0128",
            "fax_number": "321-268-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES THOMAS NICHOLS JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-268-0128",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jad Family Pharmacy LLC (Jad Family Pharmacy)
• Kayla A James, PTA
• Michael Allen James, CPHT, RPHT
• Jan L. Spagnoli DDS PA
• Ajit Haldipur Janardhan, MD, PHD
• Amanda Jaquez

• Family Medicine Physician in Titusville, FL
• Providers in Titusville, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.