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

Shawnn D Nichols, MD

Individual provider Surgery Physician · NPI 1164412094

Shawnn D Nichols, MD is a General Surgery in San Antonio, Texas. Qualified in 2002, 24 years ago. Licensed in Ohio.

Years since qualifying
24
Licensed in
OH
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7400 Merton Minter Blvd Medical Staff Ofc (11M)
San Antonio, TX 78229-4404
Phone: (210) 616-8385
Fax: (210) 443-0322
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Oncology Physician (primary) Taxonomy 2086X0206X · Licence 35.084414 (OH)
Surgery Physician Taxonomy 208600000X · Licence 36084412 (OH)

Record details

NPI number1164412094
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 22, 2005
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 26, 2024

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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