THEODORE J. NICHOLS MD – NPI #1689780934
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

THEODORE NICHOLS is a physician located in WILLOUGHBY, OH. NPPES has assigned the NPI number 1689780934 to THEODORE NICHOLS on August 21, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 5 years ago on Mar 03, 2021. 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 THEODORE NICHOLS below.

NPI Profile for
THEODORE J. NICHOLS

NPI Number
1689780934
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
THEODORE J. NICHOLS
Credentials
MD
Primary location
36100 EUCLID AVENUE #240
WILLOUGHBY, OH 44094
Phone: (440) 953-6294 Fax: (440) 918-4687
1 Other location(s):
9485 Mentor Avenue
Suite 210
Mentor, OH 44060
Phone: (440) 205-5836
Fax: (440) 205-5854
Mailing address
7590 AUBURN ROAD, SUITE 014
ATTN: MED STAFF
CONCORD TWP, OH 44077-9176
Phone: (440) 354-1899 Fax: (440) 354-1845
Sole Proprietor
No
Updated
Certification Date
Mar 03, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for THEODORE 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.

DescriptionIssuerStateIdentifier
MEDICAIDOH0547537
Taxonomy Code(s)

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
207R00000X
- Internal Medicine (Primary)
OH 35-045308

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
BASELINE WEST DIRECT EMAIL ADDRESS
Content Type
OTHER
Affiliation
N
Endpoint Location
9485 MENTOR AVENUE,
MENTOR, OH 77025-1669