Richard J. Nijem & William C Nijem PTR

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

15405 Issued in GA

Legal business name

RICHARD J. NIJEM & WILLIAM C NIJEM PTR

Practice address

1700 N Patterson St
Valdosta, GA 31602-2941

Phone

(229) 244-9800

NPI assigned

Dec 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Richard J Nijem, M.D.

Title

Dr.

Phone

(229) 244-9800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nijem and Nijem MDS Other name

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1982887923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N PATTERSON ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022941",
            "telephone_number": "229-244-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N PATTERSON ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022941",
            "telephone_number": "229-244-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J. NIJEM & WILLIAM C NIJEM PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "NIJEM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "229-244-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "15405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CN9373",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nijem and Nijem MDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Angel Reynolds
• Chasity Reynolds
• Jan Rhodes, PT
• Joshua T Rhue, DPT
• Ashley Rhys, MS, LMFT
• Richard J. Nijem, M.D., P.C.
• Richard Wa Rickman LLC
• Ghari N Richardson, MD
• Lindsey Marie Richardson, DMD
• Joseph Lee Ricketson, DPT

• Cardiovascular Disease Physician in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Cardiovascular Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.