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THEODORE J NICHOLS MD
NPI 1689780934
Internal Medicine in Willoughby, OH

Active since August 21, 2006
36100 EUCLID AVENUE #240, WILLOUGHBY, OH 44094(440) 953-6294(440) 918-4687 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 3, 2021, Jun 23, 2017 (2 updates tracked since 2017).

About Theodore J Nichols Md NPPES

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

THEODORE J NICHOLS MD (NPI 1689780934) is an individual internal medicine provider in Willoughby, Ohio, licensed in Ohio (35-045308) and active in the NPI registry since August 2006. He maintains a secondary practice location in Mentor.

NPPES Registry Identity

NPI1689780934
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTHEODORE J NICHOLSCredential: MD
Location Address36100 EUCLID AVENUE #240Willoughby, OH 44094
Mailing Address7590 Auburn Road, Suite 014, Attn: Med StaffConcord Twp, OH 44077-9176 · (440) 354-1899 · Fax (440) 354-1845
Phone(440) 953-6294
Fax(440) 918-4687
Sole ProprietorNo
Enumeration DateAugust 21, 2006
Last NPPES UpdateMarch 3, 20212 updates tracked since enumeration
NPPES CertifiedMarch 3, 2021
✔ NPI 1689780934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35-045308
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Secondary Practice Location 1

Location 19485 Mentor Avenue, Suite 210Mentor, OH 44060 · Phone (440) 205-5836 · Fax (440) 205-5854

Other Identifiers 1

Medicaid0547537OH

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 Theodore Nichols's NPI number?

The NPI number for Theodore Nichols is 1689780934. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Theodore Nichols located?

Theodore Nichols practices at 36100 Euclid Avenue #240, Willoughby, OH 44094. The listed phone number is (440) 953-6294.

What is Theodore Nichols's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Theodore Nichols was last updated on March 3, 2021. 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.