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

Individual provider Internal Medicine Physician · NPI 1689780934

Theodore J Nichols, MD is an Internal Medicine Physician in Willoughby, Ohio. Works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2006
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

36100 Euclid Ave #240
Willoughby, OH 44094
Phone: (440) 953-6294
Fax: (440) 918-4687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9485 Mentor Avenue, Mentor, OH 44060 — (440) 205-5836

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 35-045308 (OH)

Record details

NPI number1689780934
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 21, 2006
Last updated in NPPESMarch 3, 2021
Certification dateMarch 3, 2021
Mailing address7590 Auburn Road, Suite 014, Attn: Med Staff, Concord Twp, OH 44077-9176

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