Radoslav S.B. Nicholas, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

0101036556 Issued in VA

Practice address

1990 Holton Ave E
Big Stone Gap, VA 24219-3350

Phone

(276) 523-7938

Fax

(276) 523-7028

NPI assigned

Jul 8, 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

Other names 1

• Dr. Radoslav Stevan Nicholas Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Diagnostic Imaging Associates

  • Diagnostic Radiology Physician
  • Richlands, VA
  • NPI 1114012671
  NPD (past)
• Medical Imaging P.C.

  • Diagnostic Radiology Physician
  • Pennington Gap, VA
  • NPI 1861595530
  NPD (past)
• Radiology Associates of Roanoke P C

  • Diagnostic Radiology Physician
  • Salem, VA
  • NPI 1962442293
  NPD (past)
• Valley Imaging Consultants Inc.

  • Diagnostic Radiology Physician
  • Ronceverte, WV
  • NPI 1205887445
  NPD (past)

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982602454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX CC",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242190690",
            "telephone_number": "276-523-7938",
            "fax_number": "276-523-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 HOLTON AVE E",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242193350",
            "telephone_number": "276-523-7938",
            "fax_number": "276-523-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "RADOSLAV",
        "middle_name": "S.B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101036556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RADOSLAV",
            "last_name": "NICHOLAS",
            "middle_name": "STEVAN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mountain Empire Older Citzens Pace
• Celeste Mullins, N.P.
• Lori Mullins, PA-C
• Rebecca J Mullins, FNP
• Mutual Drug,Inc.
• Lara Marcie Rae Nimety, LPC/ MHSP
• Northeast Tennessee Emergency Physicians PC
• Charles Norton
• Katlyn L Nunley, LPC
• Sarah E Nunley, LPC

• Diagnostic Radiology Physician in Big Stone Gap, VA
• Providers in Big Stone Gap, VA by specialty
• Diagnostic Radiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.