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MICHAEL NICHOLS PA-C
NPI 1114998895
Physician Assistant - Medical in Salem, VA

Active since January 30, 2006
1970 ROANOKE BLVD, SALEM, VA 24153(540) 982-2463(540) 224-1948 Get Directions Write a Review

NPPES record last updated: May 2, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Nichols Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL NICHOLS PA-C (NPI 1114998895) is an individual medical provider in Salem, Virginia, licensed in Virginia (0110840493) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1114998895
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMICHAEL NICHOLSCredential: PA-C
Location Address1970 ROANOKE BLVDSalem, VA 24153-6404
Mailing Address1970 Roanoke BlvdSalem, VA 24153-6404 · (540) 982-2463 · Fax (540) 224-1948
Phone(540) 982-2463
Fax(540) 224-1948
Sole ProprietorNo
Enumeration DateJanuary 30, 2006
Last NPPES UpdateMay 2, 2008
✔ NPI 1114998895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in VA · 0110840493
1970 ROANOKE BLVD, Salem, VA 24153
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Other Identifiers 2

Medicare UPINS68795
Medicaid010110904VA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MALINDA FAYE SHELOR-ROGERS MSW, ACSW, LCSW
Social Worker (Clinical)
1970 ROANOKE BLVD, SALEM VA MEDICAL CENTER
SALEM, VA 24153
Salem City (540) 982-2463
DR. PETER LEWIS WILLS PHARM.D.
Pharmacist
1970 ROANOKE BLVD, DEPARTMENT 119
SALEM, VA 24153
Salem City (540) 982-2463
DR. JAMES PAARLBERG PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1970 ROANOKE BLVD
SALEM, VA 24153
Salem City (540) 982-2463
JENNA ST PIERRE PHARMD
Pharmacist
1970 ROANOKE BLVD
SALEM, VA 24153
Salem City (540) 982-2463
LAUREN HAGEMANN PH.D
Psychologist (Clinical)
1970 ROANOKE BLVD
SALEM, VA 24153
Salem City (540) 982-2463
TANYA WILLARD NURSE PRACTITIONER
Nurse Practitioner (Family)
1970 ROANOKE BLVD
SALEM, VA 24153
Salem City (540) 982-2463
JOSETTE ANTOINE LPN
Licensed Practical Nurse
1970 ROANOKE BLVD
SALEM, VA 24153
Salem City (540) 982-2463
DR. JASBIR MAVI M.D.
Preventive Medicine (Public Health & General Preventive Medicine)
1970 ROANOKE BLVD, VAMC SALEM
SALEM, VA 24153
Salem City (540) 982-2463

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Nichols's NPI number?

The NPI number for Michael Nichols is 1114998895. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Michael Nichols located?

Michael Nichols practices at 1970 Roanoke Blvd, Salem, VA 24153. The listed phone number is (540) 982-2463.

What is Michael Nichols's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Michael Nichols was last updated on May 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.