Active NPI
Joseph A Nicholas, PA
- Physician Assistant
- Bossier City, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA200400
- Practice address
- 2449 Hospital Dr
Suite 200
Bossier City, LA 71111-2399 - Phone
- (318) 425-8701
- Fax
- (318) 425-0376
- NPI assigned
- Oct 18, 2010
- Last updated
- Oct 18, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA200400 | LA | Primary |
Addresses
Primary practice location
2449 Hospital Dr
Suite 200
Bossier City, LA 71111-2399
Mailing address
2449 Hospital Dr
Suite 200
Bossier City, LA 71111-2399
Phone (318) 425-8701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2449 Hospital Dr
Suite 340
Bossier City, LA 71111-1912
Phone (318) 212-7841
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA200400 | LA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springhill Medical Services, Inc. | Past | Accepting new patients |
Interoperability endpoints
- jnicholas@direct.wkhs.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Bossier City, LA
- NPI 1588715791
-
dba Springhill Medical Center Hospital Based Physicians
- Family Medicine Physician
- Springhill, LA
- NPI 1124092481
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Springhill Medical Center
- General Acute Care Hospital
- Springhill, LA
- NPI 1275506115
-
dba Muddy Bottoms Clinic
- Primary Care Clinic/Center
- Sarepta, LA
- NPI 1699191999
Hospital
-
dba WK Bossier Health Center
- General Acute Care Hospital
- Bossier City, LA
- NPI 1003968579
-
dba Willis Knighton South Hospital
- General Acute Care Hospital
- Shreveport, LA
- NPI 1124170691
-
dba WK Pierremont Health Center
- General Acute Care Hospital
- Shreveport, LA
- NPI 1275685539
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1568461572
-
dba Christus St. Michael Health System
- General Practice Physician
- Texarkana, TX
- NPI 1184623266
Hospital
-
dba CHRISTUS St. Michael Health System
- General Acute Care Hospital
- Texarkana, TX
- NPI 1295736734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287360000000",
"number": "1801106349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2449 HOSPITAL DR",
"address_2": "SUITE 200",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711112399",
"telephone_number": "318-425-8701",
"fax_number": "318-425-0376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2449 HOSPITAL DR",
"address_2": "SUITE 200",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711112399",
"telephone_number": "318-425-8701",
"fax_number": "318-425-0376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLAS",
"first_name": "JOSEPH",
"middle_name": "A",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-18",
"last_updated": "2010-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": "PA200400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bossier City, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.