Individual provider · Type 1 NPI
William David Nickell, PA-C
Surgical Physician Assistant · Springfield, OH
NPI number
1376826925
Active
Practice location
100 Medical Center Dr
Springfield, OH 45504-2687
Fax (937) 523-9887
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 003357 (OH) |
| Physician Assistant | 363A00000X | 003357 (OH) |
| Physician Assistant | 363A00000X | PAC1180 (ND) |
| Surgical Physician Assistant Primary | 363AS0400X | 003357 (OH) |
Surgical Physician Assistant: Definition to come...
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About NPI 1376826925
William David Nickell, PA-C's National Provider Identifier is 1376826925, issued on Sep 20, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Springfield, OH. The record was last updated on Sep 24, 2025.