JEFFREY R. NICHOLS DO – NPI #1316334683
Emergency Medicine
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
JEFFREY NICHOLS is a physician located in JANESVILLE, WI. NPPES has assigned the NPI number 1316334683 to JEFFREY NICHOLS on April 23, 2015. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.
The NPI profile was previously updated about 8 years ago on Sep 12, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JEFFREY NICHOLS below.
NPI Profile for
JEFFREY R. NICHOLS
(more than 11 years ago)
JANESVILLE, WI 53548 Phone: (608) 756-6611 Fax: (608) 756-6177
1 Other location(s):
Peoria, IL 61637-0001
Phone: (309) 655-6710
Fax: (309) 624-9887
Identifiers for JEFFREY NICHOLS
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BCBSWI | WI | 1316334683 |
| OTHER | MERCYCARE INSURANCE | WI | 4919 |
| OTHER | WI MEDICARE | WI | K400494086 |
| MEDICAID | WI | 1316334683 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207P00000X - Emergency Medicine (Primary) |
IL | 036-144477 |
| 390200000X - Student in an Organized Health Care Education/Training Program |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
JEFFREY NICHOLS is affiliated with the following medical group(s):
- HOSPITAL
- MERCY HEALTH SYSTEM CORP1000 MINERAL POINT AVE
JANESVILLE, WI 53548
- MERCY HEALTH SYSTEM CORP1000 MINERAL POINT AVE
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