MICHAEL R NICHOLSON MD PLLC (NPI# 1295881373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295881373 |
| Entity Type | Organization |
| Organization Name | MICHAEL R NICHOLSON MD PLLC |
| Practice Address |
5220 Highland Rd Suite 230 Waterford MI 48327-1975 |
| Mailing Address |
Po Box 1481 Clarkston MI 48347-1481 |
| Practice Telephone | 2484568001 |
| Mailing Telephone | 2484568001 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2015-02-04 |
| Authorized Official Name | DR. MICHAEL R NICHOLSON (OWNER) |
| Authorized Official Telephone | 2484568001 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4973416 | 05 |
| Street Address |
5220 HIGHLAND RD SUITE 230 |
| City | WATERFORD |
| State | MI |
| Zip Code | 48327-1975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073589446 | Steven M Rapp | Neurological Surgery | 5220 Highland Rd, Suite 210, Waterford, MI 48327-1913 | 2006-02-27 |
| 1265892871 | University Neurosurgical Associates, PC | Neurological Surgery | 5220 Highland Rd, Waterford, MI 48327-1975 | 2016-02-25 |
| 1083098693 | Bridget Mary Hehir | Nurse Practitioner | 5220 Highland Rd, Suite 230, Waterford, MI 48327-1975 | 2015-07-13 |
| 1427487206 | Stanford C. Rapp, D.o., P.C. | Psychiatry & Neurology | 5220 Highland Rd, Suite 210, Waterford, MI 48327-1975 | 2013-11-02 |
| 1093151433 | North Oakland Neurosurgery, Plc | Neurological Surgery | 5220 Highland Rd, Suite 210, Waterford, MI 48327-1975 | 2013-05-13 |
| 1396051553 | Halli Erin Cohen | Physician Assistant | 5220 Highland Rd, Suite 210, Waterford, MI 48327-1975 | 2010-08-26 |
| 1376862474 | Waterford Anesthesia, Pllc | Anesthesiology | 5220 Highland Rd, Suite 100, Waterford, MI 48327-1975 | 2010-05-28 |
| 1467788729 | Waterford Surgical Center, LLC | Clinic/Center | 5220 Highland Rd, Suite 100, Waterford, MI 48327-1975 | 2009-10-21 |
| 1295871770 | Michigan Neurosurgical Specialists PC | Clinic/Center | 5220 Highland Rd, Suite 210, Waterford, MI 48327-1913 | 2007-01-30 |
| 1578629242 | The Waterford Partners Center, LLC | Clinic/Center | 5220 Highland Rd, Suite 100, Waterford, MI 48327-1913 | 2006-12-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700418555 | Dental House - Waterford, Pllc | Clinic/Center | 5979 Highland Road, Waterford Twp, MI 48327 | 2020-02-10 |
| 1063924793 | Carolyn Mirretti | Social Worker | 7110 Round Hill Drive, Apt. A2, Waterford, MI 48327 | 2017-11-03 |
| 1972022358 | Mary Frances Halfpenny | Registered Nurse | 5741 Berkley Dr, Waterford, MI 48327 | 2017-09-17 |
| 1407377443 | Crystal Marie Degrandchamp | Counselor | 1370 N. Oakland Blvd., Suite 105, Waterford, MI 48327 | 2017-06-29 |
| 1366987489 | Graceful Living, Reinventing In-home Senior Care | Home Health | 6926 Highland Road, Suite 2, Waterford, MI 48327 | 2016-12-28 |
| 1134678378 | Jacqueline Bleisch | Home Health | 2440 Jones Rd., Waterford, MI 48327 | 2016-09-29 |
| 1033665385 | Charles Weems | Counselor | Meridian Health Services, 1255 N. Oakland Blvd., Waterford, MI 48327 | 2016-08-28 |
| 1124480777 | Raymond S Kanar | Counselor | 1255 North Oakland Blvd., Waterford, MI 48327 | 2016-03-23 |
| 1750765798 | Shatha Matti | Pharmacist | 7362 Highland Road, Waterford, MI 48327 | 2015-07-18 |
| 1548647233 | Oakland Physicians Medical Center LLC | Clinic/Center | 1035 N. Oakland Blvd., Waterford, MI 48327 | 2015-05-01 |
| Find all providers in zip 48327 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346548302 | Harvey Lee Raimi | Obstetrics & Gynecology | 950 N Cass Lake Rd Ste 112, Waterford, MI 48328-2370 | 2011-03-01 |
| 1093804619 | Richard Ira Ellenbogen | Obstetrics & Gynecology | 4000 Highland Road, #120, Waterford, MI 48328 | 2006-10-12 |
| 1740390053 | Keith Fortier | Obstetrics & Gynecology | 594 Copenhagen Rd, Waterford, VT 05819-9055 | 2006-08-30 |
| 1396787586 | Reda A Khalifa | Obstetrics & Gynecology | 3675 Highland Rd, Suite 112, Waterford, MI 48328-2326 | 2006-06-12 |
| 1942241633 | Michael Nicholson | Obstetrics & Gynecology | 5220 Highland Rd Ste 230, Waterford, MI 48327-1973 | 2006-06-10 |
| 1396707048 | Leonard Gordon Dorey | Obstetrics & Gynecology | 25 Pleasant Lake Dr, Waterford, MI 48327-3765 | 2006-04-06 |
| 1316919681 | Briana M Williams | Obstetrics & Gynecology | 818 Forrest Lane, Waterford, WI 53185-4577 | 2006-02-02 |
| 1417262387 | Cara Elizabeth Smith | Obstetrics & Gynecology | 5220 Highland Rd Ste 230, Waterford, MI 48327-1973 | 2010-08-16 |
| 1912014416 | Stacy Ann Jenkins | Obstetrics & Gynecology | 5220 Highland Rd, Suite 230, Waterford, MI 48327-1913 | 2006-08-23 |
| 1578678140 | Dr Khalifa Reda Pllc | Obstetrics & Gynecology | 950 N Cass Lake Rd, Suite 112, Waterford, MI 48328-2370 | 2006-08-21 |
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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.