CRAIG ALAN NICHOLSON (NPI# 1033223318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033223318 |
| Entity Type | Individual |
| Full Name | CRAIG ALAN NICHOLSON |
| Credential | M.D. |
| Practice Address |
600 W Main St Ste 330 Troy OH 45373-2928 |
| Mailing Address |
1 Prestige Pl Ste 550 Miamisburg OH 45342-6115 |
| Practice Telephone | 9379807460 |
| Practice Fax Number | 9379807462 |
| Mailing Telephone | 9377621310 |
| Mailing Fax Number | 9375228493 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 35096239 | OH | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 4301090624 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1258 Bellefontaine St, Wapakoneta, OH 458959775 | 4197391980 | 4197391982 |
| 770 W High St, Suite 350, Lima, OH 458013990 | 4192288950 | 4192247904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306853742 | Craig Raymond Nicholson | Family Medicine | 1203 15th St, Fort Benton, MT 59442 | 2006-08-01 |
| 1417933912 | Craig Anthony Nicholson | Pharmacist | 1601 Park Place Ave, Suite B, Fort Worth, TX 76110-1303 | 2005-12-16 |
| Street Address |
600 W MAIN ST STE 330 |
| City | TROY |
| State | OH |
| Zip Code | 45373-2928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427263292 | Kendall Erdahl | Family Medicine | 600 W Main St Ste 330, Troy, OH 45373-3384 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248336 | Julie M Anderson | Home Health Aide | 74 Tamworth Road, Troy, OH 45373 | 2020-09-05 |
| 1376007682 | Community Housing of Darke, Miami & Shelby Counties, Inc | Peer Specialist | 1100 Wayne Ave Suite 4001, Troy, OH 45373 | 2019-01-31 |
| 1861982423 | Omni Wellness Group LLC | Family Medicine | 1149 Experiment Farm Road, Troy, OH 45373 | 2018-05-18 |
| 1336638758 | Kristin Dolph | Counselor | 305 Public Sq, Troy, OH 45373 | 2018-05-02 |
| 1912425448 | Wanda Denise Hudson | Counselor | 550 Sumitt Ave, Troy, OH 45373 | 2017-09-05 |
| 1538685383 | Cassandra Ann Zerkle | Occupational Therapist | 2000 W. Stainfield Rd., Troy, OH 45373 | 2017-08-14 |
| 1891215224 | Michele Josefovsky | Nurse Practitioner | 31 S Stanfield Rd Ste 301, Troy, OH 45373 | 2017-06-27 |
| 1295271104 | Alison Moyer | Specialist/Technologist | 1852 Towne Park Dr Apt 6b, Troy, OH 45373 | 2017-01-17 |
| 1982151148 | Amanda Falldorf | Nurse Practitioner | 1843 W Main St, Troy, OH 45373 | 2016-09-06 |
| 1588093314 | Quad Med LLC | Clinic/Center | 1447 E. Main Street, Troy, OH 45373 | 2013-11-02 |
| Find all providers in zip 45373 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003179730 | Kalen Jacob Rimar | Urology | 130 Town Center Dr Ste 101, Troy, MI 48084 | 2012-06-18 |
| 1639331622 | Robert Michael Kohut Jr. | Urology | 3130 N County Road 25a Ste 205, Troy, OH 45373-1337 | 2008-06-30 |
| 1093908568 | Tarek Pacha | Urology | 4137 Coolidge Hwy, Troy, MI 48098-4316 | 2007-08-19 |
| 1932165628 | Anthony P Benjamin | Urology | 2231 Burdett Ave Ste 230, Troy, NY 12180 | 2006-04-22 |
| 1588642383 | Oscar Foz Almonte | Urology | 267 Hoosick Street, Troy, NY 12180 | 2006-01-03 |
| 1083608509 | Pedro C Padilla | Urology | 20 Manor Dr, Troy, MO 63379-0267 | 2005-09-12 |
| 1386064939 | Jason Michael Sandberg | Urology | 130 Town Center Dr Ste 101, Troy, MI 48084-1744 | 2014-04-22 |
| 1528322799 | Randolph Specialty Group Practice | Urology | 522 Allen St, Suite 202, Troy, NC 27371-2861 | 2012-07-02 |
| 1962674499 | Michigan Institute of Urology PC | Urology | 130 Town Center Dr, Suite 200, Troy, MI 48084-1744 | 2008-03-25 |
| 1295817799 | Michigan Institute of Urology PC | Urology | 130 Town Center Drive, Suite 101, Troy, MI 48084-1773 | 2006-10-20 |
| Find all providers in TROY | ||||
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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.