DR. MARK JONATHAN NICOLAU (NPI# 1164787834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164787834 |
| Entity Type | Individual |
| Full Name | DR. MARK JONATHAN NICOLAU |
| Credential | M.D. |
| Practice Address |
2649 Schoenersville Rd Ste 202 Bethlehem PA 18017-7316 |
| Mailing Address |
Po Box 783311 Philadelphia PA 19178-3311 |
| Practice Telephone | 4848841007 |
| Mailing Telephone | 4848844500 |
| Mailing Fax Number | 4848840699 |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2018-03-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD461321 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
2649 SCHOENERSVILLE RD STE 202 |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18017-7316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538361761 | David B Grossman | Specialist | 2649 Schoenersville Rd Ste 202, Bethlehem, PA 18017-7316 | 2007-06-01 |
| 1447889894 | Michael Schrift | Nurse Practitioner | 2649 Schoenersville Rd Ste 202, Bethlehem, PA 18017-7316 | 2020-04-07 |
| 1669885281 | Leahna Ruth Cooney | Surgery | 2649 Schoenersville Rd Ste 202, Bethlehem, PA 18017-7316 | 2014-06-11 |
| 1669780847 | Gina Santiago | Physician Assistant | 2649 Schoenersville Rd Ste 202, Bethlehem, PA 18017-7316 | 2010-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174147797 | Achieve Signature Rehabilitation, LLC | Clinic/Center | One Kirkland Village Cir, Bethlehem, PA 18017 | 2020-05-29 |
| 1043843493 | Nicole S. Baker | Counselor | 406 Deleware Ave Suite 4, Bethlehem, PA 18017 | 2020-02-13 |
| 1346892882 | Laura Troxel | Social Worker | 3894 Courtney St Ste 100, Bethlehem, PA 18017 | 2019-07-15 |
| 1124684394 | Coleen Anne Joswick | Occupational Therapy Assistant | 1389 Kirkland Village Circle, Bethlehem, PA 18017 | 2019-05-14 |
| 1073005278 | Mhd Ghayath Alhalabi | Dentist | 3739 Bath Pike, Bethlehem, PA 18017 | 2018-06-04 |
| 1225481724 | Universal Clinical Laboratories LLC | Clinical Medical Laboratory | 87 S Commerce Way, Ste 700, Bethlehem, PA 18017 | 2016-07-20 |
| 1306221080 | Sara Joyce Robertson | Physical Therapist | 3500 Fairview St., Bethlehem, PA 18017 | 2015-07-23 |
| 1356740682 | Laura Nicole Danner | Counselor | 2045 Westgate Drive Suite 304, Gateway Professional Building, Bethlehem, PA 18017 | 2014-08-22 |
| 1588084594 | Piotr Filip Zembrzuski | Family Medicine | 2830 Easton Avenue, Bethlehem, PA 18017 | 2014-04-17 |
| 1689098816 | The Arc of Lehigh and Northampton Counties, Inc. | Day Training, Developmentally Disabled Services | 2289 Avenue A, Bethlehem, PA 18017 | 2014-02-07 |
| Find all providers in zip 18017 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417565847 | St. Luke's Physician Group Inc. | Surgery | 5325 Northgate Dr Ste 204, Bethlehem, PA 18017-9413 | 2020-07-22 |
| 1922294628 | Crystal Cunningham | Surgery | 5452 Jaclyn Ln, Bethlehem, PA 18017-9054 | 2007-09-18 |
| 1730134974 | Anthony D, Dippolito | Surgery | 1330 Center St, Bethlehem, PA 18018-2528 | 2006-05-24 |
| 1235112293 | Tribhuvan Kumar Pendurthi | Surgery | 3600 Fairview St, Bethlehem, PA 18017-8923 | 2005-11-23 |
| 1376169573 | Sean Wesley Hamlin | Surgery | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-06-23 |
| 1023648870 | Lvhn Coordinated Professional Practice | Surgery | 2775 Schoenersville Rd, Bethlehem, PA 18017-7307 | 2020-01-21 |
| 1164066502 | Stc Pediatrics LLC | Surgery | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2019-10-29 |
| 1487213666 | Kyle William Dammann | Surgery | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2019-06-11 |
| 1982263794 | Alyssa Marie Green | Surgery | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2019-06-06 |
| 1235624701 | Richard Vandegraaf | Surgery | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2018-06-27 |
| Find all providers in BETHLEHEM | ||||
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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.