MEDICARE: DR. RICHARD NICKERSON M.D.

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	208600000X	Surgery Physician	0101235652	VA

General Provider Information

NPI Number	:	1679682470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD NICKERSON M.D.

Provider Business Mailing Address
First Line	:	2605 MAPLE GROVE LN E
Second Line	:
City	:	POWHATAN
State	:	VA
Zip	:	23139
Country	:	US
Telephone Number	:	804-598-8511
Fax Number	:

Provider Business Practice Location Address
First Line	:	2605 MAPLE GROVE LN W
Second Line	:
City	:	POWHATAN
State	:	VA
Zip	:	23139-5041
Country	:	US
Telephone Number	:	804-598-8511
Fax Number	:

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

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1952306052 — POWHATAN PHARMACY INC
Practice Location Address:

1799 SOUTHCREEK ONE , STE A
POWHATAN, VA
23139-7960

Practice Phone: 804-379-6986
Practice Fax: 804-379-1086

1740285857 — DONSCO INC
Practice Location Address:

2105 ACADEMY RD , SUITE E
POWHATAN, VA
23139-5829

Practice Phone: 804-598-5028
Practice Fax: 504-598-6117

1013917830 — MS. BARBARA C CONNELL
Practice Location Address:

1916 WOODBERRY MILL RD
POWHATAN, VA
23139-5300

Practice Phone: 804-794-8525
Practice Fax:

1487646485 — DR. ALLEN S. BURRIS MD
Practice Location Address:

2320 SKAGGS RD
POWHATAN, VA
23139-5713

Practice Phone: 804-598-5637
Practice Fax: 804-598-5636

1356334908 — DR. JAMIE L . HIGLEY D.C.
Practice Location Address:

3430 ANDERSON HWY , SUITE C
POWHATAN, VA
23139-5834

Practice Phone: 804-598-6300
Practice Fax: 804-598-8755

1114908886 — DR. JUDITH L CAIN-OLIVER DR.
Practice Location Address:

2156 PLAINVIEW CENTER
POWHATAN, VA
23139

Practice Phone: 804-598-9577
Practice Fax: 804-598-0084

Directions to “ DR. RICHARD NICKERSON M.D.” 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.