Mark David Nicolas
Mark David Nicolas is a General Surgery in Springfield, Missouri. Graduated from Cincinnati College of Medicine and Surgery in 2015, 11 years ago. Practices with Lester E Cox Medical Centers, a 249-clinician group and accepts Medicare assignment. Licensed in Missouri.
- Years since qualifying
- 11
- Trained at
- Cincinnati College of Medicine and Surgery
- Licensed in
- MO
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
3800 S National Ave Ste 600Springfield, MO 65807-5249
Phone: (417) 875-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Trauma Surgery Physician (primary) | Taxonomy 2086S0127X · Licence 2021027694 (MO) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1447645221 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 30, 2015 |
| Last updated in NPPES | September 23, 2021 |
| Certification date | September 23, 2021 |
| Mailing address | Po Box 802843, Kansas City, MO 64180-2843 |
Medicare enrollment
| Medicare specialty | GENERAL SURGERY |
|---|---|
| Medical school | CINCINNATI COLLEGE OF MEDICINE AND SURGERY |
| Graduated | 2015 (11 years in practice) |
| Group practice | Lester E Cox Medical Centers — 249 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Springfield
-
Katherine Foerster, MD
1235 E Cherokee St, Springfield, MO 65804-2203 · (417) 820-7250
-
Lester E Cox Medical Centers
3800 S National Ave Ste 605, Springfield, MO 65807-5209 · (417) 875-3846