DR. BENJAMIN P NICHOLSON (NPI# 1003016916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003016916 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN P NICHOLSON |
| Credential | M.D., M.A. |
| Practice Address |
2848 Niles Rd Saint Joseph MI 49085-3352 |
| Practice Telephone | 2694283300 |
| Practice Fax Number | 2694285005 |
| Mailing Telephone | 2694283300 |
| Mailing Fax Number | 2694285005 |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2017-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 4301106941 | MI | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
4301106941 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073907382 | Benjamin Nicholson | Emergency Medicine | 1250 E Marshall St, Richmond, VA 23298-5051 | 2015-03-25 |
| Street Address |
2848 NILES RD |
| City | SAINT JOSEPH |
| State | MI |
| Zip Code | 49085-3352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922002708 | Great Lakes Eye Care PC | Ophthalmology | 2848 Niles Rd, Saint Joseph, MI 49085-3352 | 2005-06-09 |
| 1194216937 | Daniel James Van Elk | Optometrist | 2848 Niles Rd, Saint Joseph, MI 49085-3352 | 2018-05-29 |
| 1255781019 | Lakeshore Anesthesia Staffing LLC | Nurse Anesthetist, Certified Registered | 2848 Niles Rd, Saint Joseph, MI 49085-3352 | 2016-06-13 |
| 1003273129 | Great Lakes Surgery Center LLC | Clinic/Center | 2848 Niles Rd, Suite B, Saint Joseph, MI 49085-3352 | 2016-01-20 |
| 1992701098 | Andrew Manongdo Wang | Ophthalmology | 2848 Niles Rd, Saint Joseph, MI 49085-3352 | 2005-06-23 |
| 1265437370 | David Neal Brown | Ophthalmology | 2848 Niles Rd, Saint Joseph, MI 49085-3352 | 2005-06-15 |
| 1700881166 | Ronald L. Mckey | Ophthalmology | 2848 Niles Rd, Saint Joseph, MI 49085-3352 | 2005-06-14 |
| 1134124522 | Michael Scott Seward | Ophthalmology | 2848 Niles Rd, Saint Joseph, MI 49085-3352 | 2005-06-14 |
| 1942205315 | David Locke Cooke | Ophthalmology | 2848 Niles Rd, Saint Joseph, MI 49085-3352 | 2005-06-14 |
| 1306841630 | Duane Allen Tolsma | Optometrist | 2848 Niles Rd, Saint Joseph, MI 49085-3352 | 2005-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758949 | Ahmed Elshareif | Student in an Organized Health Care Education/Training Program | Lakeland Health, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2020-04-03 |
| 1033747225 | Ezra Fox | Student in an Organized Health Care Education/Training Program | Lakeland Health- Gme, 1234 Napier Avenue, St. Joseph, MI 49085 | 2020-04-01 |
| 1679033930 | Asad Butt | Student in an Organized Health Care Education/Training Program | Lakeland Health-gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2019-03-22 |
| 1184194714 | Benjamin Phillip Knuth | Physical Therapist | 3950 Hollywood Road, Suite 140, Saint Joseph, MI 49085 | 2018-11-27 |
| 1336624279 | Brandi Chatot | Counselor | 1101 Broad Street #8, Saint Joseph, MI 49085 | 2018-09-26 |
| 1396239562 | Lakeland Medical Practices | Family Medicine | 2500 Niles Ave., Suite 1, St. Joseph, MI 49085 | 2018-06-20 |
| 1760976518 | Premier Health Associates, Inc. | Home Health | 1111 Main Sr, St Joseph, MI 49085 | 2018-06-15 |
| 1053817783 | Chantell Strong | Student in an Organized Health Care Education/Training Program | Lakeland Health - Gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2018-04-02 |
| 1386144053 | Anjana Gupta, Dds, Pllc | Dentist | 2800 Niles Road, Saint Joseph, MI 49085 | 2018-02-19 |
| 1356858997 | Hope Reborn Counseling, Pllc | Counselor | 2816 Willa Dr, Saint Joseph, MI 49085 | 2018-01-04 |
| Find all providers in zip 49085 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639781545 | Harbor Retina Center Pllc | Ophthalmology | 3273 Davison Rd Ste 1, Lapeer, MI 48446-2902 | 2020-08-21 |
| 1902260698 | Drew Scoles | Ophthalmology | 3555 W 13 Mile Rd Ste Ll-20, Royal Oak, MI 48073-6710 | 2016-04-08 |
| 1225007198 | Steven A Boskovich Md PC | Ophthalmology | 1290 S Linden Rd, Flint, MI 48532-3407 | 2006-03-14 |
| City | SAINT JOSEPH |
| Zip Code | 49085 |
Please comment or provide details below to improve the information on DR. BENJAMIN P NICHOLSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.