Theresa Nicol, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

D0047638 Issued in MD

Practice address

4801 Telsa Dr
Suite G
Bowie, MD 20715-4320

Phone

(410) 987-8001

NPI assigned

Mar 8, 2006

Sex

Female

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 MD

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

79.7 of 100Reported as group

Quality

75

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• HCT Pathology Services LLC

  • Anatomic Pathology Physician
  • Baltimore, MD
  • NPI 1598831976
  Medicare reassignment NPD
• DRS Hicken Cranley Taylor PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Baltimore, MD
  • NPI 1154401396
  Medicare reassignment
• HCT Pathology Services LLC

  • Anatomic Pathology Physician
  • Westminster, MD
  • NPI 1659194819
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Jeffrey H. Baybick, MD PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Bowie, MD
  • NPI 1043299316
  NPD (past)

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1790753747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64546",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644546",
            "telephone_number": "240-364-2550",
            "fax_number": "240-364-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 TELSA DR",
            "address_2": "SUITE G",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154320",
            "telephone_number": "410-987-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOL",
        "first_name": "THERESA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MD",
            "license": "D0047638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gladys Niba
• Morfaw Nichodemus Kungang
• Morgan Nicholas
• Nicholette Martin LLC
• Nicholette Martin-Davis MD LLC
• Nicole Rudd, LCPC
• Frank Niiquaye, NP
• Remond Njang
• Thecla Njanjo
• Claudine Njawe-Manga, RN

• Anatomic Pathology & Clinical Pathology Physician in Bowie, MD
• Providers in Bowie, MD by specialty
• Anatomic Pathology & Clinical Pathology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.