J TIMOTHY NICHOLS D.O. NPI 1578569695

NPI Information

  • NPI: 1578569695
  • Provider Name: J TIMOTHY NICHOLS, D.O.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 101 N GIRLS SCHOOL RD
    INDIANAPOLIS, IN
    ZIP 46214
  • Phone: (317) 247-0201

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NPI Details

J Timothy Nichols, D.O. is a family medicine in Indianapolis, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. J Timothy Nichols, D.O. NPI is 1578569695. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

101 N GIRLS SCHOOL RD
INDIANAPOLIS, IN
ZIP 46214-963
Phone: (317) 247-0201
Fax: (317) 481-6756

The enumeration date for this NPI number is 6/23/2005 and was last updated on 6/11/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine02000537AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100062200MEDICAIDINDIANA
2P01391909OTHERINDIANARAIL ROAD PTAN
3000000081248OTHERINDIANABLUE CROSS BLUE SHIELD
4H08235MEDICARE UPININDIANA
5266180449MEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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