| Dr Scott E Nicholls, MD | |
| 
					1925 Woodwinds Dr, Woodbury, MN 55125-2270  | |
| (651) 232-0228 | |
| Not Available | 
| Full Name | Dr Scott E Nicholls | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine | 
| Location | 1925 Woodwinds Dr, Woodbury, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1063587947 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | EC-05-141 (Maine) | Secondary | 
| 207P00000X | Emergency Medicine | 49580 (Minnesota) | Primary | 
| Entity Name | Healtheast Woodwinds Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1356309322 PECOS PAC ID: 9638082563 Enrollment ID: O20031107000110  | 
| Entity Name | Healtheast St John's Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1447218482 PECOS PAC ID: 9234035742 Enrollment ID: O20031208000320  | 
| Entity Name | Emergency Care Consultants Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1669422788 PECOS PAC ID: 5496640161 Enrollment ID: O20040220000380  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Scott E Nicholls, MD 800 East 28th Street, Mr 11112, Minneapolis, MN 55407 Ph: (612) 863-6590  | Dr Scott E Nicholls, MD 1925 Woodwinds Dr, Woodbury, MN 55125-2270 Ph: (651) 232-0228  | 
Dr. Jayson Robert Pereira, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 155 Radio Dr, Woodbury, MN 55125 Phone: 952-831-8742  | |
Steven Palm, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1925 Woodwinds Dr, Woodbury, MN 55125 Phone: 651-232-0348  | |
Patrick White, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8675 Valley Creek Rd, Woodbury, MN 55125 Phone: 651-241-3000  | |
Dr. Maryam Beltran Shapland, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1925 Woodwinds Dr, Emergency Department, Woodbury, MN 55125 Phone: 651-232-6818  | |
Jerome R Peterson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 8450 Seasons Pkwy, Woodbury, MN 55125 Phone: 612-339-3663 Fax: 651-702-5305  | |
Michael S Towey, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1925 Woodwinds Dr, Woodbury, MN 55125 Phone: 651-232-0348 Fax: 635-123-2062  |