BORIS NIKOLIC (NPI# 1407869241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407869241 |
Entity Type | Individual |
Full Name | BORIS NIKOLIC |
Credential | M.D. |
Practice Address |
30 Locust St Northampton MA 01060-2052 |
Mailing Address |
30 Locust St Northampton MA 01060 |
Practice Telephone | 4135822554 |
Practice Fax Number | 4135824779 |
Mailing Telephone | 4135822554 |
Mailing Fax Number | 4135824779 |
Enumeration Date | 2006-08-14 |
Last Update Date | 2019-09-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085B0100X |
Radiology Specialization: Body Imaging |
233982 | MA | Allopathic & Osteopathic Physicians |
N | 2085N0700X |
Radiology Specialization: Neuroradiology |
233982 | MA | Allopathic & Osteopathic Physicians |
N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
233982 | MA | Allopathic & Osteopathic Physicians |
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
233982 | MA | Allopathic & Osteopathic Physicians |
N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
233982 | MA | Allopathic & Osteopathic Physicians |
Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
MD429236 | PA | Allopathic & Osteopathic Physicians |
N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
233982 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 110072175A | 05 |
Street Address |
30 LOCUST ST |
City | NORTHAMPTON |
State | MA |
Zip Code | 01060-2052 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518967991 | Gretchen E Loebel | Obstetrics & Gynecology | 30 Locust St, Northampton, MA 01060 | 2005-07-28 |
1962019117 | Anacelis Flecha | Nurse Practitioner | 30 Locust St, Northampton, MA 01060-2093 | 2020-09-30 |
1790304095 | Lauren Jacqueline Slebodnick | Physician Assistant | 30 Locust St, Northampton, MA 01060-2052 | 2020-04-16 |
1831722677 | Kristen L Hinchey | Physician Assistant | 30 Locust St, Northampton, MA 01060-2052 | 2020-02-20 |
1972071132 | Anne Evelyn Messier | Registered Nurse | 30 Locust St, Northampton, MA 01060-2093 | 2018-11-06 |
1083181242 | Dale Allen Thompson | Social Worker | 30 Locust St, Northampton, MA 01060-2093 | 2018-10-25 |
1578048757 | Alexandra Penzias | Clinical Nurse Specialist | 30 Locust St, Northampton, MA 01060-2052 | 2018-10-03 |
1023591211 | Katherine Mary Jaycox | Social Worker | 30 Locust St, Northampton, MA 01060-2052 | 2018-09-13 |
1689154825 | Patrick Ryan Fugler | Pharmacist | 30 Locust St, Northampton, MA 01060-2052 | 2018-08-17 |
1104329739 | Devon Charlotte Riley | Midwife | 30 Locust St, Northampton, MA 01060-2052 | 2018-03-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942869318 | Stephanie Jordan | Counselor | 16 Center St Ste 517, Northampton, MA 01060 | 2019-06-10 |
1659853828 | James Drisko | Social Worker | 159 Crescent St, Northampton, MA 01060 | 2018-09-04 |
1063994416 | Nancy P Doby | Social Worker | 84 Conz Street, Northampton, MA 01060 | 2018-09-02 |
1356821144 | Kathleen Ann Goodwin-boyd | Social Worker | Northampton High School, 380 Elm Street, Northampton, MA 01060 | 2018-08-21 |
1457847048 | Kathryn Karusaitis Basham | Social Worker | 155 Main Street C/o Dr. Herzog Phd, Northampton, MA 01060 | 2018-07-06 |
1700392289 | Angel Marie Kennedy | Behavioral Analyst | 351 Pleasant St Ste B126, Northampton, MA 01060 | 2017-12-20 |
1013437508 | Ricky Jermaine Logan | Counselor | 129 North King Street, Northampton, MA 01060 | 2017-06-26 |
1962858886 | Alicia Simoni | Social Worker | 25 Main St Ste 445, Northampton, MA 01060 | 2016-05-10 |
1134589708 | James Edmonstone | Clinic/Center | 78 Mainst., Suite 404, Northampton, MA 01060 | 2016-02-25 |
1114395639 | Danielle Baker | Speech-Language Pathologist | 228 King St Ste 2, Northampton, MA 01060 | 2015-09-15 |
Find all providers in zip 01060 |
Taxonomy Code | 2085R0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Vascular & Interventional Radiology |
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184247355 | Rastogi Md LLC | Radiology | 234 Littleton Rd Ste 2h, Westford, MA 01886-3530 | 2020-05-22 |
1649764978 | Melissa Sampson | Radiology | 201 Sylvia St, Arlington, MA 02476-7008 | 2018-06-20 |
1598216921 | S. Lowell Kahn Md PC | Radiology | 86 Ashley Ave, West Springfield, MA 01089-1302 | 2016-10-20 |
1396191482 | Fresenius Vascular Care Boston LLC | Radiology | 130 Needham St, Newton, MA 02464-1506 | 2016-05-09 |
1528407467 | Amar C Gupta | Radiology | 55 Fruit St # 290, Boston, MA 02114-2621 | 2013-06-24 |
1003083163 | Gregg Andrew Franco | Radiology | 5 University Ln, Manchester By The Sea, MA 01944-1632 | 2008-05-08 |
1942761127 | Olumide Ayodeji Olulade | Radiology | 75 Francis St, Boston, MA 02115-6106 | 2019-03-28 |
1265997480 | Emalyn Phillips Johnson | Radiology | 300 Longwood Ave, Boston, MA 02115-5724 | 2019-02-01 |
1841649019 | Spencer Degerstedt | Radiology | 330 Brookline Ave, Boston, MA 02215-5400 | 2016-06-08 |
1962856336 | Fresenius Vascular Care North Andover LLC | Radiology | 203 Turnpike St, Suite 125, North Andover, MA 01845-5042 | 2016-04-21 |
Find all providers with the same taxonomy |
City | NORTHAMPTON |
Zip Code | 01060 |
Please comment or provide details below to improve the information on BORIS NIKOLIC.
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.