Dr. Jerome Tak Nichols, MD
Dr. Jerome Tak Nichols, MD is a Physical Medicine and Rehabilitation in Roanoke, Virginia. Graduated from Loma Linda University School of Medicine in 2007, 19 years ago. Practices with Carilion Medical Center, a 951-clinician group and accepts Medicare assignment. Licensed in Georgia, Kentucky and Virginia.
- Years since qualifying
- 19
- Trained at
- Loma Linda University School of Medicine
- Licensed in
- GA, KY, VA
- In the registry since
- 2007
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
2331 Franklin Rd SWRoanoke, VA 24014-1111
Phone: (540) 510-6200
Fax: (540) 857-5306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X · Licence 0101261482 (VA) |
|---|---|
| Sports Medicine (Family Medicine) Physician | Taxonomy 207QS0010X · Licence 070145 (GA) |
| Physical Medicine & Rehabilitation Physician | Taxonomy 208100000X · Licence TP934 (KY) |
Record details
| NPI number | 1386842763 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 6, 2007 |
| Last updated in NPPES | April 13, 2023 |
| Certification date | April 13, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICAL MEDICINE AND REHABILITATION |
|---|---|
| Medical school | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2007 (19 years in practice) |
| Group practice | Carilion Medical Center — 951 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Roanoke
-
Dr. Travis H Smith, DO
2331 Franklin Rd SW, Roanoke, VA 24014-1111 · (540) 510-6200