Walter Kirt Nichols, MD | |
One Hospital Drive, Columbia, MO 65212-0001 | |
(573) 882-1308 | |
(573) 884-5049 |
Full Name | Walter Kirt Nichols |
---|---|
Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | One Hospital Drive, Columbia, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811934540 | NPI | - | NPPES |
200468908 | Medicaid | MO | |
P00415659 | Other | MO | RAILROAD MEDICARE |
770000391 | Other | MO | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | MDR5328 (Missouri) | Primary |
Mailing Address | Practice Location Address |
---|---|
Walter Kirt Nichols, MD Po Box 843966, Kansas City, MO 64184-3966 Ph: (573) 884-3300 | Walter Kirt Nichols, MD One Hospital Drive, Columbia, MO 65212-0001 Ph: (573) 882-1308 |
Olivia Louise Bolles, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-4141 | |
Alice Lee, Surgery Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-882-5609 Fax: 573-884-6054 | |
Ioan-andrei Scumpu, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Mchaney Hall 404, Dco75.00, Columbia, MO 65212 Phone: 573-884-2000 | |
Marc L Miller, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 115 Business Loop 70 W, Columbia, MO 65203 Phone: 573-882-8454 Fax: 573-884-6054 | |
Dr. Mary Carr, MD Surgery Medicare: Medicare Enrolled Practice Location: 800 Hospital Dr, Columbia, MO 65201 Phone: 573-814-6000 | |
Brent W Miedema, MD Surgery Medicare: Medicare Enrolled Practice Location: 800 Hospital Dr # 617, Columbia, MO 65201 Phone: 573-814-6346 | |
Dr. Kelley Marie Ray, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-884-2000 |