Individual provider

Phillip Nichols, MD

Otolaryngology Physician Plastic Surgery within the Head & Neck (Otolaryngology) Physician Medicare enrolled

Phillip Nichols, MD is an Otolaryngology Physician in Charleston, WV, registered under NPI 1396744652. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 500 DONNALLY ST SUITE 200, Charleston, WV 25301. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

500 DONNALLY ST SUITE 200, Charleston, WV 25301 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
0101273372 VA Otolaryngology Physician primary
19053 WV Otolaryngology Physician
0101273372 VA Plastic Surgery within the Head & Neck…

Licences are recorded in 2 states: VA, WV. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Otolaryngology
PAC ID
9032254115

Medicare enrolment is recorded as approved under the provider type Practitioner - Otolaryngology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Virginia and West Virginia. The practice address on file is in Charleston, WV, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

VA Virginia
Licence
0101273372
Specialty
Otolaryngology Physician
Verify with the VA board →
WV West Virginia practice address
Licence
19053
Specialty
Otolaryngology Physician
Verify with the WV board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Otolaryngology covers

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. NUCC Health Care Provider Taxonomy, code 207Y00000X
Allopathic & Osteopathic Physicians Otolaryngology

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207Y00000X Otolaryngology Physician 0101273372 VA primary
207Y00000X Otolaryngology Physician 19053 WV
207YX0007X Plastic Surgery within the Head & Neck (Otolaryngology) Physician Plastic Surgery within the Head & Neck 0101273372 VA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1396744652 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 19, 2005
Last updatedMay 28, 2024
StatusActive
Sole proprietorYes
CredentialMD
Practice address 500 DONNALLY ST
SUITE 200
Charleston, WV 25301
(304) 342-0124
Fax (304) 340-2204
Mailing address PO BOX 1628
Charleston, WV 25326
Other identifiers 040014129 · RR MEDICARE (WV)
1157768001 · CIGNA (WV)
0300079000 (WV)
7979026 · AETNA (WV)
550595497023 · BC/BS (WV)
This record was updated on May 28, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1396744652 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 9 6 7 4 4 6 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 9 6 5 4 8 6 1

Sum = 68 · next multiple of 10 = 70 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1396744652?
NPI 1396744652 is the National Provider Identifier assigned to Phillip Nichols, MD in Charleston, WV. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Otolaryngology Physician cover?
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or…
How do I contact Phillip Nichols, MD?
The phone number on file with NPPES is (304) 342-0124, last updated May 28, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Phillip Nichols, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1396744652 a valid number?
Yes. 1396744652 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.