Provider Demographics
NPI:1376571885
Name:SETTLES, NICHOLAS H (PAC)
Entity Type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:H
Last Name:SETTLES
Suffix:
Gender:M
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2330 FALCON CT
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-9328
Mailing Address - Country:US
Mailing Address - Phone:270-231-0420
Mailing Address - Fax:
Practice Address - Street 1:1102 TRIPLETT ST
Practice Address - Street 2:SUITE 2100
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-3104
Practice Address - Country:US
Practice Address - Phone:270-926-7320
Practice Address - Fax:270-926-7302
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYPA925363AS0400X
IN10000826A363AS0400X
KYKYPA925363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000384092OtherANTHEM
KY0649918Medicare ID - Type Unspecified
Q54467Medicare UPIN
IN202280MMedicare ID - Type Unspecified