person
Mr. Phillip Todd Nichols, MD
Otolaryngology Physician in Charleston, West Virginia
NPI 1396744652

Phillip Todd Nichols is a Otolaryngology Physician based in Charleston, WV. Phillip Todd Nichols practices in Charleston, WV and has the professional credentials of MD. The NPI Number for Phillip Todd Nichols is 1396744652 and holds a License No. 19053 (West Virginia).

The current practice location address for Phillip Todd Nichols is 500 Donnally St, Charleston, WV and can be reached out via phone at 304-342-0124 and via fax at 304-340-2204. You can also correspond with Phillip Todd Nichols through the mailing address at PO BOX 1628, CHARLESTON, WV - 25326-1628 (mailing address contact number: 304-342-0124).

Location: 500 Donnally St, Charleston, WV, 25326-1628
person
Provider Profile Details
NPI Number
1396744652
Provider Name
Phillip Todd Nichols
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
500 Donnally St, Charleston, WV, 25326-1628
Phone Number
304-342-0124
Fax Number
304-340-2204
Provider Enumeration Date
07/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
040014129 01 WV RR MEDICARE
1157768001 01 WV CIGNA
550595497023 01 WV BC/BS
7979026 01 WV AETNA
0300079000 05 WV
institution
Provider Business Practice Location Address Details
Address
500 Donnally St
City
State
Zip
25301-1648
Phone Number
304-342-0124
Fax Number
304-340-2204
person
Provider Business Mailing Address Details
Address
Po Box 1628
City
State
Zip
25326-1628
Phone Number
304-342-0124
Fax Number
304-340-2204
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
License No.
0101273372 (Virginia)
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Plastic Surgery within the Head & Neck
Taxonomy
License No.
19053 (West Virginia)
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
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