MICHAEL A NICHOLAS (NPI# 1598740748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598740748 |
| Entity Type | Individual |
| Full Name | MICHAEL A NICHOLAS |
| Credential | DO |
| Practice Address |
2150 Gettler St Ste 400 Dyer IN 46311-2385 |
| Mailing Address |
Po Box 781076 Detroit MI 48278-1076 |
| Practice Telephone | 2198650893 |
| Practice Fax Number | 2198653599 |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2017-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
02000901A | IN | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
02000901A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MEDICARE | 060030029 | 01 | |
| IN | ANTHEM PIN | 000000095311 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275563637 | Michael Ernest Nicholas Jr. | Physician Assistant | 3014 N. O Connor, Suite 110, Irving, TX 75062-4415 | 2006-07-03 |
| 1649733064 | Michael Nicholas | Marriage & Family Therapist | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2019-04-11 |
| 1821537861 | Michael Alan Nicholas | Peer Specialist | 704 Main St, Oregon City, OR 97045-1842 | 2017-02-22 |
| 1922468834 | Michael George Nicholas | Physician Assistant | 159 E 74th St, 2nd Floor, New York, NY 10021-3235 | 2016-03-04 |
| 1437536166 | Michael Nicholas | Social Worker | 406 Massachusetts Ave, Arlington, MA 02474-6700 | 2015-05-01 |
| 1942486873 | Michael John Nicholas | Radiology | 100 South Ashley Drive, Suite 1500, Tampa, FL 33602-5318 | 2008-01-10 |
| 1144242520 | Michael Nicholas | Pediatrics | 708 Shady Retreat Rd, Suites 3+4, Doylestown, PA 18901 | 2006-07-24 |
| 1467471565 | Michael A Nicholas | Clinical Neuropsychologist | 100 Fountain Ave, Suite 220, Paducah, KY 42001-2771 | 2006-07-19 |
| 1124026059 | Michael L Nicholas | Psychiatry & Neurology | 2506 Willowbrook Pkwy, Suite 300, Indianapolis, IN 46205-1564 | 2005-07-13 |
| Street Address |
2150 GETTLER ST STE 400 |
| City | DYER |
| State | IN |
| Zip Code | 46311-2385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629073366 | Mateo Guanzon | Surgery | 2150 Gettler St Ste 400, Dyer, IN 46311-2385 | 2005-06-17 |
| 1902447311 | Alyssa Marie Borkowski | Nurse Practitioner | 2150 Gettler St Ste 400, Dyer, IN 46311-2385 | 2019-10-07 |
| 1265552756 | Mark A Mitchell | Internal Medicine | 2150 Gettler St Ste 400, Dyer, IN 46311 | 2007-03-30 |
| 1497822480 | Ioannis Dimitrios Xenidis | Internal Medicine | 2150 Gettler St Ste 400, Dyer, IN 46311 | 2006-11-29 |
| 1083699193 | C Richard Smith | Internal Medicine | 2150 Gettler St Ste 400, Dyer, IN 46311-2385 | 2005-12-12 |
| 1124002738 | Stephanie D Marshall | Internal Medicine | 2150 Gettler St Ste 400, Dyer, IN 46311-2385 | 2005-12-06 |
| 1598746083 | John D Andress | Internal Medicine | 2150 Gettler St Ste 400, Dyer, IN 46311-2385 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407338858 | Leena Yousef-diaz | Nurse Practitioner | 1100 Joliet Street Suite #201, Dyer, IN 46311 | 2018-09-02 |
| 1518476639 | Kor Speech Therapy, LLC | Speech-Language Pathologist | 219 Primrose Dr., Dyer, IN 46311 | 2017-09-20 |
| 1861921207 | Derrick Durrah | Counselor | 2615 James Drive, Dyer, IN 46311 | 2017-06-08 |
| 1073962189 | Maria Lule | Pharmacist | 805 Joliet Road, Dyer, IN 46311 | 2016-06-09 |
| 1780072157 | Mario Munoz | Skilled Nursing Facility | 515 Audrey Ct, Dyer, IN 46311 | 2015-01-07 |
| 1457772451 | Lisa Jennifer Mickelson | Registered Nurse | 600 Joliet St., Kahler Middle School, Dyer, IN 46311 | 2013-12-18 |
| 1285055285 | Tanya D Burk-willson | Registered Nurse | 14600 W 81st St., Bibich Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1013338011 | Mary Beth Rinaldi | Registered Nurse | 1121 Harrison Ave, Protsman Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1023448057 | Franciscan Alliance | General Acute Care Hospital | 24 Joliet Street, 3da, Dyer, IN 46311 | 2013-11-12 |
| 1508078239 | Fatima Jaffer Md Sc PC | Internal Medicine | Physicians Pavilion Suite 101, 24 East Joliet Street, Dyer, IN 46311 | 2007-05-04 |
| Find all providers in zip 46311 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447549282 | Manan Ashvin Naik | Internal Medicine | 2150 Gettler St, Dyer, IN 46311-2380 | 2011-04-01 |
| 1083699193 | C Richard Smith | Internal Medicine | 2150 Gettler St Ste 400, Dyer, IN 46311-2385 | 2005-12-12 |
| 1144204769 | Ratnakar Rajanahally | Internal Medicine | 24 Joliet St, Suite 401, Dyer, IN 46311-1705 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710485594 | Optimal Health Network of Indiana LLC | Internal Medicine | 120 E Market St Ste 1271, Indianapolis, IN 46204-3250 | 2018-01-26 |
| 1205275948 | Benjamin Thomas Maatman | Internal Medicine | 8075 N Shadeland Ave Ste 500, Indianapolis, IN 46250-2693 | 2013-06-16 |
| 1730389586 | Akhtar Parvaiz Md | Internal Medicine | 1951 W 45th Ave, Griffith, IN 46319-3703 | 2007-07-20 |
| 1225058787 | William E Lehmkuhler, M.d. P.C. | Internal Medicine | 950 Memorial Dr, Jasper, IN 47546-2625 | 2006-07-20 |
| 1326073586 | Srinivasarao Manchikalapudi | Internal Medicine | 2109 Green Valley Rd, New Albany, IN 47150 | 2006-07-12 |
| 1548233158 | Kingsley Annan | Internal Medicine | 1928 S Dixon Rd, Kokomo, IN 46902-7302 | 2006-02-13 |
| 1194724377 | Eric F Schulte | Internal Medicine | 7863 Broadway, Suite 140, Merrillville, IN 46410-5553 | 2005-07-19 |
| 1386283281 | Seyal Cardiology LLC | Internal Medicine | 1455 Cedar St Ste D, Clarksville, IN 47129-7700 | 2019-12-26 |
| 1710440839 | 1st Choice Cardiovascular Associates LLC | Internal Medicine | 701 Superior Ave Ste J, Munster, IN 46321-4038 | 2019-04-08 |
| 1972065415 | Cind Care of In II, LLC | Internal Medicine | 120 E Market St Ste 1271, Indianapolis, IN 46204-3250 | 2019-04-03 |
| Find all providers with the same taxonomy | ||||
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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.