JUDD KARL NICHOLAS M.D. NPI 1104933647

Emergency Medicine in Monterey, CA

NPI 1104933647 Individual Male Emergency Medicine PECOS Enrolled

About JUDD NICHOLAS

Judd Nicholas is a provider established in Monterey, California and his medical specialization is emergency medicine. The NPI number of Judd Nicholas is 1104933647 and was assigned on August 2006. The practitioner's primary taxonomy code is 207P00000X with license number A30375 (CA). The provider is registered as an individual and his NPI record was last updated 14 years ago.

Judd Nicholas is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Judd Nicholas is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1104933647

Provider Name JUDD KARL NICHOLAS M.D.
Provider Location Address23625 HOLMAN HWY MONTEREY, CA 93940
Provider Mailing AddressP O BOX HH BUSINESS DEVELOPMENT & CONTRACTING MONTEREY, CA 93942
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date08-23-2006
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code207P00000X
ClassificationEmergency Medicine
TypeAllopathic & Osteopathic Physicians
License No.A30375
License StateCA
Taxonomy DescriptionAn 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.

Business Address

JUDD KARL NICHOLAS M.D.
23625 HOLMAN HWY
MONTEREY, CA
ZIP 93940
Phone: (831) 624-5311
Fax: (831) 625-4948

Get Directions


Mailing Address

JUDD KARL NICHOLAS M.D.
P O BOX HH
BUSINESS DEVELOPMENT & CONTRACTING
MONTEREY, CA
ZIP 93942
Phone: (831) 622-2716
Fax: (831) 625-4764



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesA30375CAN/A

Taxonomy Description: an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
00A303750MEDICARE ID-TYPE UNSPECIFIED (04)CA
00A303750OTHER (01)CA
F05468MEDICARE UPIN (02)CA

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1144227380 GERALDINE C TAPLIN M.D
Individual
Internal Medicine (Infectious Disease)23625 HOLMAN HWY
MONTEREY, CA 93940
(831) 771-1444
1215985205DR. GERALD DIETER GRIFFIN MD, PHARMD
Individual
General Practice23625 HOLMAN HWY COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA
MONTEREY, CA 93940
(831) 625-4511
1053325308MONTEREY PENINSULA ANESTHESIA MEDICAL GROUP, INC.
Organization
Anesthesiology23625 HOLMAN HWY
MONTEREY, CA 93940
(831) 624-5311
1679580831 ANDRES MARTIN ALDRETE M.D.
Individual
Emergency Medicine23625 HOLMAN HWY
MONTEREY, CA 93940
(831) 624-5311
1255347753 DAVID DANSKY M.D.
Individual
Emergency Medicine23625 HOLMAN HWY
MONTEREY, CA 93940
(831) 625-4900
1548277999 JOHN HAGE M.D.
Individual
Emergency Medicine23625 HOLMAN HWY
MONTEREY, CA 93940
(831) 624-5311
1831106061 DAVID ERNST WHITLOCK M.D.
Individual
Emergency Medicine23625 HOLMAN HWY
MONTEREY, CA 93940
(831) 624-5311
1356358527 MARILYN UWATE R.D., M.ED., C.D.E.,
Individual
Dietitian, Registered23625 HOLMAN HWY
MONTEREY, CA 93940
(831) 624-5311
1124035084 GREGOR JAMES PUTZKA MFT
Individual
Marriage & Family Therapist23625 HOLMAN HWY
MONTEREY, CA 93940
(831) 624-5311
1033126990 BARBARA ANN QUINN M.S., R.D., C.D.E.
Individual
Dietitian, Registered23625 HOLMAN HWY
MONTEREY, CA 93940
(831) 624-5311
1477561876 MICHELLE ANN KRUEGER-KALINSKI M.D.
Individual
Emergency Medicine23625 HOLMAN HWY
MONTEREY, CA 93940
(831) 624-5311
1861402539 MARY L LOUNSBURY PH.D
Individual
Psychologist (Adult Development & Aging)23625 HOLMAN HWY
MONTEREY, CA 93940
(831) 624-5311
1750391421 SUZI I BRAUNER-TATUM LCSW
Individual
Social Worker (Clinical)23625 HOLMAN HWY
MONTEREY, CA 93940
(831) 624-5311
1639189335 MARTIN LOUIS SKERRITT LCSW
Individual
Social Worker23625 HOLMAN HWY
MONTEREY, CA 93940
(831) 624-5311
1093822546 LISA HOLDEN M.S., R.D., C.D.E.
Individual
Dietitian, Registered23625 HOLMAN HWY
MONTEREY, CA 93940
(831) 624-5311
1720195266 PAUL FILE M.D.
Individual
Emergency Medicine23625 HOLMAN HWY
MONTEREY, CA 93940
(831) 624-5311
1467560367 SUSAN TITUS C.N.S.
Individual
Clinical Nurse Specialist (Psychiatric/Mental Health)23625 HOLMAN HWY
MONTEREY, CA 93940
(831) 624-5311
1861572422 JESSE KAHN M.D.
Individual
Radiology (Body Imaging)23625 HOLMAN HWY
MONTEREY, CA 93940
(831) 624-5311
1508949736 LANCE DAVID HEIN PA-C
Individual
Physician Assistant (Surgical)23625 HOLMAN HWY
MONTEREY, CA 93940
(831) 624-5311
1275612285 FRANK A TAKACS MD
Individual
Anesthesiology23625 HOLMAN HWY
MONTEREY, CA 93940
(831) 624-5311

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.