DR. MICHAEL STEPHEN NICKOLI (NPI# 1831452580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831452580 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL STEPHEN NICKOLI |
| Credential | M.D. |
| Practice Address |
130 Morris Rd Circleville OH 43113 |
| Mailing Address |
5450 Frantz Rd Ste 360 Dublin OH 43016-4141 |
| Practice Telephone | 7404776511 |
| Practice Fax Number | 7404776888 |
| Mailing Telephone | 6145336497 |
| Mailing Fax Number | 6145446370 |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2019-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 35.133935 | OH | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 125061743 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0310959 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 401 E Ontario St, Apt 4003, Chicago, IL 606113051 | 6147381205 |
| Street Address |
130 MORRIS RD |
| City | CIRCLEVILLE |
| State | OH |
| Zip Code | 43113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295816288 | Daniel Ianni | Orthopaedic Surgery | 130 Morris Rd, Circleville, OH 43113-1362 | 2006-10-18 |
| 1356992515 | Brock Chamberlain | Physician Assistant | 130 Morris Rd, Circleville, OH 43113-1362 | 2019-09-27 |
| 1457813156 | Madison L Kinder | Physical Therapist | 130 Morris Rd, Circleville, OH 43113-1362 | 2019-04-02 |
| 1194068072 | Edward Yu Qiao | Internal Medicine | 130 Morris Rd, Circleville, OH 43113 | 2013-03-29 |
| 1275879348 | Daniel H Terbush | Physician Assistant | 130 Morris Rd, Circleville, OH 43113-1362 | 2012-12-18 |
| 1013218874 | Donald Dibenedetto | Registered Nurse | 130 Morris Rd, Circleville, OH 43113-1362 | 2010-11-10 |
| 1801979976 | Orthopaedic & Sports Medicine Center, Inc | Orthopaedic Surgery | 130 Morris Rd, Circleville, OH 43113-1362 | 2006-10-23 |
| 1700967692 | James Glenn Castillo | Physician Assistant | 130 Morris Rd, Circleville, OH 43113-1362 | 2006-10-18 |
| 1932280906 | Michael Scott Lefkowitz | Orthopaedic Surgery | 130 Morris Rd, Circleville, OH 43113-1362 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104303882 | Charles Paul Bradley | Adult Companion | 776 North Court Street, Circleville, OH 43113 | 2018-07-25 |
| 1356841472 | Bobi Jo Carpenter | Nurse Practitioner | 1180 N. Court St., Circleville, OH 43113 | 2018-02-15 |
| 1235637968 | Denise Van Gundy | Social Worker | 26442 Kime Holderman Rd, Circleville, OH 43113 | 2018-01-29 |
| 1912425562 | Erin E Good | Audiologist-Hearing Aid Fitter | 5074 N High Street, Columbus, OH 43113 | 2017-09-05 |
| 1487178687 | Amy Michelle Provenzano | Nurse Practitioner | 600 N. Pickaway St, Suite 300 3rd Floor Mo Bldg, Circleville, OH 43113 | 2017-07-28 |
| 1801343371 | Amanda Hamman | Speech-Language Pathologist | 588 Clark Drive, Circleville, OH 43113 | 2016-09-01 |
| 1235588823 | Family Urgent Care LLC | Clinic/Center | 1180 North Court Street, Family Urgent Care, LLC, Circleville, OH 43113 | 2016-06-06 |
| 1801295878 | Andre Woeste | Psychologist | 100 Tiger Drive, Circleville, OH 43113 | 2014-08-15 |
| 1396159935 | Regina Ann Boysel | Home Health Aide | 200 Villa Drive, Circleville, OH 43113 | 2014-06-11 |
| 1760797542 | Chamberlain Family Therapy | Social Worker | 906 N. Court St. Suite C, Circleville, OH 43113 | 2010-08-17 |
| Find all providers in zip 43113 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295816288 | Daniel Ianni | Orthopaedic Surgery | 130 Morris Rd, Circleville, OH 43113-1362 | 2006-10-18 |
| 1801979976 | Orthopaedic & Sports Medicine Center, Inc | Orthopaedic Surgery | 130 Morris Rd, Circleville, OH 43113-1362 | 2006-10-23 |
| 1932280906 | Michael Scott Lefkowitz | Orthopaedic Surgery | 130 Morris Rd, Circleville, OH 43113-1362 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457966327 | Crystal Clinic, Inc. | Orthopaedic Surgery | 2383 S Main St Ste D106, Coventry Township, OH 44319-1190 | 2020-09-09 |
| 1306468418 | Mercy Health Physicians North Specialty Care LLC | Orthopaedic Surgery | 2200 Jefferson Ave Fl 4, Toledo, OH 43604-7102 | 2020-05-12 |
| 1841756632 | Ortholive Medical Group | Orthopaedic Surgery | 1311 Vine St, Cincinnati, OH 45202-7118 | 2019-02-16 |
| 1487134581 | Orthopedic One, Inc. | Orthopaedic Surgery | 5500 N. Meadows Drive, Grove City, OH 43123 | 2018-08-17 |
| 1659851921 | Orthopaedic Associates, Inc | Orthopaedic Surgery | 32800 Lorain Rd # 1100, N Ridgeville, OH 44039-3430 | 2018-08-16 |
| 1841788593 | Yirka Vacca | Orthopaedic Surgery | Cleveland Clinic 9500 Euclid Avenue A-40, Cleveland, OH 44195 | 2018-04-27 |
| 1609387984 | Orthopedic Associates of S W Ohio Inc | Orthopaedic Surgery | 3535 Pentagon Blvd Ste 300, Beavercreek, OH 45431-1705 | 2017-10-13 |
| 1689183683 | Orthopedic Associates of S W Ohio, Inc. | Orthopaedic Surgery | 7117 Dutchland Pkwy, Liberty Township, OH 45044-9096 | 2017-09-22 |
| 1760914451 | Morad Chughtai | Orthopaedic Surgery | 10001 Chester Ave, Apt 520, Cleveland, OH 44106-1617 | 2017-03-31 |
| 1306382262 | Zanesville Xpress Ortho Care, LLC | Orthopaedic Surgery | 3089 Maple Ave, Zanesville, OH 43701-1408 | 2017-01-16 |
| Find all providers with the same taxonomy | ||||
| City | CIRCLEVILLE |
| Zip Code | 43113 |
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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.