ENRICO NICOLO, M.D. PC (NPI# 1659553576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659553576 |
Entity Type | Organization |
Organization Name | ENRICO NICOLO, M.D. PC |
Practice Address |
100 Stoops Dr Ste 230 Monongahela PA 15063-3556 |
Practice Telephone | 7244833639 |
Practice Fax Number | 7244833758 |
Mailing Telephone | 7244833639 |
Mailing Fax Number | 7244833758 |
Enumeration Date | 2007-12-03 |
Last Update Date | 2008-05-05 |
Authorized Official Name | ENRICO NICOLO (PRESIDENT) |
Authorized Official Telephone | 7244833639 |
Authorized Official Credential | M,D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | MD03722L | PA | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 0009697470002 | 05 |
Street Address |
100 STOOPS DR STE 230 |
City | MONONGAHELA |
State | PA |
Zip Code | 15063-3556 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457902009 | Joan Romaine Wilkerson | Technician | 46 West Euclid Ave, Monongahela, PA 15063 | 2019-09-25 |
1700217361 | Dion Kong | Occupational Therapist | 1277 Country Club Road, Havencrest Nursing Center, Monongahela, PA 15063 | 2013-12-09 |
1861708414 | Pieter H Heemstra | Dentist | 100 Alexander Avenue, Monongahela, PA 15063 | 2010-08-20 |
1043530959 | Thumrong Boonvisudhi | Pediatrics | 23 Carroll Way, Monongahela, PA 15063 | 2010-06-03 |
1174629901 | Mon City Chiropractic Clinic, PC | Chiropractor | 1230 West Main Street, Monongahela, PA 15063 | 2006-09-16 |
1407952856 | Charles Lomago Jr. | Family Medicine | 447 West Main Street, Monongahela, PA 15063 | 2006-09-15 |
1790899714 | Mon-valley Ekg Associates | Nuclear Medicine | Country Club Rd, Monongahela Valley Hospital, Monongahela, PA 15063 | 2006-08-18 |
1730198409 | Stacy Ann Chandler | Dental Hygienist | 173 West Main St, Monongahela, PA 15063 | 2006-08-05 |
1962411637 | Randall Gabriel Rodriguez | Dentist | 173 W Main Street, Monongahela, PA 15063 | 2006-08-05 |
1265426266 | Ronald A Lutes | Internal Medicine | 100 Stoops Dr Ste 200, Monongahela, PA 15063 | 2005-09-06 |
Find all providers in zip 15063 |
Taxonomy Code | 170100000X |
Grouping | Other Service Providers |
Classification | Medical Genetics, Ph.D. Medical Genetics |
A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790992717 | Larry E Maglicco | Medical Genetics, Ph.D. Medical Genetics | Upmc Mckeesport Hospital, 1500 Fith Ave, Mckeesport, PA 15133 | 2007-05-17 |
1528189610 | Nancy Naylor Mccullum | Medical Genetics, Ph.D. Medical Genetics | 205 St. Charles Way, The Center for Cosmetic Dermatology, York, PA 17402 | 2007-04-03 |
1841331915 | Connie J Kennedy | Medical Genetics, Ph.D. Medical Genetics | 263 Summer Avenue, Horsham, PA 19044-2607 | 2007-02-09 |
1619173192 | Anuja Rohatgi M.d.p.c. | Medical Genetics, Ph.D. Medical Genetics | 117 N 4th St, Easton, PA 18042-3503 | 2007-06-22 |
1720162654 | Michael John Paszek | Medical Genetics, Ph.D. Medical Genetics | 503 N 21st St, Camp Hill, PA 17011-2204 | 2006-10-25 |
1609804897 | Miguel Amora De Castro | Medical Genetics, Ph.D. Medical Genetics | 1018 W Lehigh Ave, Philadelphia, PA 19133-1640 | 2006-06-28 |
City | MONONGAHELA |
Zip Code | 15063 |
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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.