Dr. Russell Arthur Nickels , MD
General Practice • Smith River, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Russell Nickels has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Russell Nickels, MD was a registered General Practice practicing in Smith River, CA. Throughout an active medical career spanning 17 years, Dr. Nickels provided care at the practice location at 415 HIGHLAND AVE. until profile deactivation on 2024-06-26.
Practice Location & Contact Primary Location
415 Highland Ave.
Smith River, CA 95567
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Smith River, CA
Practicing in Smith River, CA (2300 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Acupuncturist
Licensed Acupuncturist
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 26, 2024
NPI status registered as active in NPPES database
Registered at 415 HIGHLAND AVE., SMITH RIVER, CA 95567 (Tel: 7074872211)
Registered at 415 HIGHLAND AVE., SMITH RIVER, CA 95567 (Tel: 7074872211)
Recorded as RUSSELL NICKELS, M.D.
General Practice (License #00C306750 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
415 Highland Ave.
Smith River, CA 95567
Phone: 7074872211
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