Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Robert Nichols

Individual provider Emergency Medicine Physician · NPI 1366862716

Robert Nichols is an Emergency Medicine in Kettering, Ohio. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2014, 12 years ago. Practices with Hospitalist Medicine Physicians of New Mexico - Clovis LLC, a 40-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
12
Trained at
Arizona College of Osteopathic Medicine Mid Western University
Licensed in
NM
In the registry since
2014
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Practice location Address checks out

3525 Southern Blvd
Kettering, OH 45429-1221
Phone: (937) 395-8839
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A-2077-17 (NM)

Record details

NPI number1366862716
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 24, 2014
Last updated in NPPESAugust 23, 2017
Mailing address2024 S Baldwin Unit 165, Mesa, AZ 85209-1712

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated 2014 (12 years in practice)
Group practice Hospitalist Medicine Physicians Of New Mexico - Clovis Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kettering