RUSSEL NICHOLS, MD, PC
NPI 1609874247
Family Medicine in John Day, OR

Active since July 08, 2005
135 FORD RD, JOHN DAY, OR 97845(541) 575-2669(541) 575-2743 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Russel Nichols, Md, Pc NPPES

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

RUSSEL NICHOLS, MD, PC (NPI 1609874247) is a healthcare organization registered as a family medicine in John Day, Oregon and active in the NPI registry since July 2005. The organization lists Russel James Nichols, Owner, as its authorized official.

NPPES Registry Identity

NPI1609874247
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRUSSEL NICHOLS, MD, PC
Location Address135 FORD RDJohn Day, OR 97845-2010
Mailing Address135 Ford RdJohn Day, OR 97845-2010 · (541) 575-2669 · Fax (541) 575-2743
Fax(541) 575-2743
Organization SubpartNo
Authorized OfficialRussel James NicholsOwner · (541) 575-2669
Enumeration DateJuly 8, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1609874247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OR · MD22062
Definition
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.
135 FORD RD, John Day, OR 97845

Other Identifiers 3

Other4532990001Nsc/dme
OtherMD00039026WA · Wa License Number
Medicaid287633OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Massage Therapist
135 FORD RD
JOHN DAY, OR 97845
Nurse Practitioner (Family)
135 FORD RD
JOHN DAY, OR 97845

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 Russel Nichols, MD, PC's NPI number?

The NPI number for Russel Nichols, MD, PC is 1609874247. It was assigned to this organization in the NPPES registry on July 8, 2005.

Where is Russel Nichols, MD, PC located?

Russel Nichols, MD, PC is located at 135 Ford Rd, John Day, OR 97845. The listed phone number is (541) 575-2669.

What is Russel Nichols, MD, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Russel Nichols, MD, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.