MEDICARE: DR. MATTHEW DAVID NICHOLS DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	OS19895	FL
2	207Q00000X	Family Medicine Physician	81951-21	WI

General Provider Information

NPI Number	:	1588292692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW DAVID NICHOLS DO

Provider Business Mailing Address
First Line	:	102 WOODMONT BLVD STE 600
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37205-5250
Country	:	US
Telephone Number	:	888-987-1151
Fax Number	:

Provider Business Practice Location Address
First Line	:	1016 W LAYTON AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53321
Country	:	US
Telephone Number	:	414-508-2363
Fax Number	:	888-355-6740

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2020
Last Update Date	:	02/11/2026

Similar Medicare Providers

1124701156 — DANA MARIE ASMONDY NP
Practice Location Address:

1016 W LAYTON AVE
MILWAUKEE, WI
53321

Practice Phone: 414-508-2363
Practice Fax: 888-355-6740

1205003142 — BENJAMIN A FEINZIMER D.O.
Practice Location Address:

6308 8TH AVE
KENOSHA, WI
53143-5031

Practice Phone: 414-290-6720
Practice Fax: 414-290-6755

1619972643 — PAUL R BATTY MD
Practice Location Address:

1340 CHARLES ST STE 100
ROCKFORD, IL
61104-2200

Practice Phone: 779-696-8700
Practice Fax:

1457351355 — WENDE A MOLINE APRN-BC
Practice Location Address:

2801 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI
53215-3669

Practice Phone: 414-649-1280
Practice Fax:

1811997612 — LUCINDA K FENSKE M.D.
Practice Location Address:

2350 N LAKE DR , SUITE 502
MILWAUKEE, WI
53211-4507

Practice Phone: 414-271-3300
Practice Fax: 414-271-5549

1831199439 — CRAIG QUANDT-WALLE PA
Practice Location Address:

1818 N MEADE ST
APPLETON, WI
54911-3454

Practice Phone: 800-968-6866
Practice Fax:

Directions to “ DR. MATTHEW DAVID NICHOLS DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.