DR. SHIVPRASAD D. NIKAM


Address: 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027
Phone: 5708206020

DR. SHIVPRASAD D. NIKAM (NPI# 1740407634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740407634
Entity Type Individual
Full Name DR. SHIVPRASAD D. NIKAM
Credential M.D.
Practice Address 1000 E Mountain Dr
Wilkes Barre
PA 18711-0027
Mailing Address 100 N Academy Ave
Danville
PA 17822-3034
Practice Telephone 5708206020
Practice Fax Number 5708212306
Mailing Telephone 5702716144
Mailing Fax Number 5702716578
Enumeration Date 2007-04-20
Last Update Date 2020-06-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
MD425982 PA Allopathic & Osteopathic Physicians

Office Location

Street Address 1000 E MOUNTAIN DR
City WILKES BARRE
State PA
Zip Code 18711-0027

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629077185 Martha A. Danon Radiology 1000 E Mountain Dr, Wilkes Barre, PA 18711 2005-07-18
1336759984 Deanne Angela Walters Nurse Practitioner 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 2020-08-07
1982213062 Erin Leigh Dougherty Physician Assistant 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 2020-07-24
1013525179 Chelsea Lynn Lopatka Nurse Practitioner 1000 E Mountain Dr, Wilkes Barre, PA 18711-0001 2020-07-15
1467060483 Preston Benjamin Setzer Pharmacist 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 2020-07-15
1295382554 Carol Teets Nurse Practitioner 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 2019-08-21
1417501941 Krushna Shah Pharmacist 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 2019-08-01
1790269660 Samantha Marie Weiksner Pharmacist 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 2018-09-18
1356825244 Michelle Jeanne Butcher Pharmacist 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 2018-09-18
1467932863 Arthur Jankowski Pharmacist 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 2018-08-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467924274 Leeann Kayal Nurse Practitioner 111 East End Boulevard, Wilkes Barre, PA 18711 2018-12-19
1336661701 Patricia Dworak Occupational Therapist 1175 East Mountain Boulevard, Wilkes-barre, PA 18711 2017-07-07
1992160352 Hope Danishanko Social Worker 111 East End Blvd, Wilkes Barre, PA 18711 2015-12-29
1477962785 Jennifer L. Heck Physical Therapist 1140 Route 315, Suite 207, Wilkes-barre, PA 18711 2014-08-12
1821338807 Melinda Flaim Physical Therapist 1555 East End Blvd, Wilkes Barre, PA 18711 2013-02-27
1598900953 Elizabeth Patricia Keating Pharmacist 1000 East Mountain Drive, Wilkes Barre, PA 18711 2008-12-12
1457433294 Christopher William O'brien Specialist/Technologist King's College, 133 North River Street, Wilkes-barre, PA 18711 2006-10-20
1821197450 Louis Jay Freedman Obstetrics & Gynecology Valley Medical Building, 3rd Floor, 1010 East Mountain Boulevard, Wilkes-barre, PA 18711 2006-09-21
1730282625 Natalia N Belikova Internal Medicine 1111 East End Boulvard, Wilkesbarre, PA 18711 2006-09-06
1609883628 Va Medical Center General Acute Care Hospital 1111 East End Blvd., Wilkes-barre, PA 18711 2006-08-02
Find all providers in zip 18711

Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174575005 Geisinger Clinic Surgery 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 2006-05-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720630650 Broad Street Professional Medical Services LLC Surgery 2033 S Broad St Ste A, Philadelphia, PA 19148-5505 2019-07-11
1124670922 Broad Street Medical LLC Surgery 2033 S Broad St Ste B, Philadelphia, PA 19148-5505 2019-07-11
1932610755 Vascular Surgical Specialists Pllc Surgery 1450 E Boot Rd Ste 600b, West Chester, PA 19380-5968 2017-10-19
1336515956 Aria Health Physician Services Surgery 9501 Roosevelt Blvd Ste 312, Philadelphia, PA 19114-1028 2015-08-18
1437525490 Advanced Vein and Laser Center Lancaster, LLC Surgery 896a Plaza Blvd, Lancaster, PA 17601-2745 2015-08-13
1447658877 Center for Vein Restoration Pa Pllc Surgery 1338 Bristol Pike Ste 205, Bensalem, PA 19020-5679 2014-12-17
1023423167 Catherine Go Surgery 420 S Aiken Ave, Apt A6, Pittsburgh, PA 15232-1226 2014-06-27
1659703635 Walter J. Fagan Surgery 211 Center Ave, Jim Thorpe, PA 18229-1205 2013-08-01
1346521267 Usa Vein Clinics of Philadelphia LLC Surgery 51 Cameron Rd, Huntingdon Valley, PA 19006-1401 2011-09-06
1124314893 Nathan Loren Liang Surgery 200 Lothrop St # A-1017, Pittsburgh, PA 15213-2536 2011-06-21
Find all providers with the same taxonomy

Competitor

Search similar providers

City WILKES BARRE
Zip Code 18711

Improve Information

Please comment or provide details below to improve the information on DR. SHIVPRASAD D. NIKAM.

Dataset Information

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.

Trending Searches