Individual
WILLIAM JOHN NICHOLAS
Active
Individual
WILLIAM JOHN NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
110180
MO
207RI0011X
Interventional Cardiology Physician
Primary
110180
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060061613
RR MEDICARE
—
05
—
100137270C
—
KS
05
—
100137270D
—
KS
05
—
100202220A
—
OK
01
—
110817
KS BCBS
KS
01
—
117796
ANTHEM
MO
05
—
208167924
—
MO
01
—
424135
BCBS KS
KS
01
—
P00322601
RR MEDICARE
KS
Enumeration date
06/20/2006
Last updated
08/07/2026
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