NICKOLAY PETER MARKOV (NPI# 1598927824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598927824 |
| Entity Type | Individual |
| Full Name | NICKOLAY PETER MARKOV |
| Credential | MD |
| Practice Address |
3700 Southern Blvd Ste 201 Kettering OH 45429-1226 |
| Mailing Address |
1 Prestige Pl Ste 550 Miamisburg OH 45342-6115 |
| Practice Telephone | 8555002873 |
| Practice Fax Number | 9372813992 |
| Mailing Telephone | 9377621310 |
| Mailing Fax Number | 9375228493 |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2020-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 35.134010 | OH | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 25622 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STUDENT IN AN ORGANIZED HEALTH CARE EDUCATION/TRAINING PROGRAM | 390200000X | 01 |
| OH | 0376798 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4881 Sugar Maple Dr, Wpafb, OH 454335529 | 9372559922 |
| Street Address |
3700 SOUTHERN BLVD STE 201 |
| City | KETTERING |
| State | OH |
| Zip Code | 45429-1226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174582597 | Glenda M Updyke | Physician Assistant | 3700 Southern Blvd Ste 201, Kettering, OH 45429-1265 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
| 1114446127 | Louai Al-samkari | Chiropractor | 1441 E. Stroop Rd., Kettering, OH 45429 | 2017-09-12 |
| 1407373756 | Benjamin Edward Adkins | Specialist/Technologist | 4116 Vinita Dr., Kettering, OH 45429 | 2017-08-28 |
| 1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
| 1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
| 1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
| 1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
| 1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
| 1497161947 | Robert Jonathon Fresch Jr. | Obstetrics & Gynecology | 3533 Southern Blvd Ste 3750, Kettering, OH 45429 | 2014-07-05 |
| 1821349812 | Lucas Brewer | Counselor | 1524 E Stroop Rd Ste 300, Kettering, OH 45429 | 2012-10-01 |
| Find all providers in zip 45429 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811279219 | Alliance Physician Inc | Plastic Surgery | 3737 Southern Blvd, Suite 2000b, Kettering, OH 45429-1262 | 2011-09-13 |
| 1083644850 | Jaleh Eslami | Plastic Surgery | 3533 Southern Blvd, Suite 4300, Kettering, OH 45429-1264 | 2006-07-04 |
| 1750311650 | Thomas Percy | Plastic Surgery | 3533 Southern Blvd, Suite 4400, Kettering, OH 45429 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225672439 | Stratus Plastic Surgery LLC | Plastic Surgery | 7227 N High St Ste 256, Worthington, OH 43085-2575 | 2019-10-30 |
| 1467910737 | Sarkos Plastic Surgery LLC | Plastic Surgery | 2662 Elm Rd Bldg C, Cortland, OH 44410-9393 | 2019-03-06 |
| 1710454368 | Surfield Plastic Surgery, LLC | Plastic Surgery | 701 Tyler St Ste 301, Sandusky, OH 44870-3321 | 2018-10-31 |
| 1376931105 | Jacob Keith Crittenden IIi | Plastic Surgery | 621 Tusculum Ave, Cincinnati, OH 45226-1771 | 2015-01-01 |
| 1689910184 | Thomas Eades Shaw | Plastic Surgery | 3480 Roundwood Rd, Chagrin Falls, OH 44022-6636 | 2013-01-02 |
| 1588919617 | Joseph Meyerson | Plastic Surgery | 915 Olentangy River Rd Ste 2100, Columbus, OH 43212-3154 | 2012-07-15 |
| 1427312123 | Carmen Paradis | Plastic Surgery | 10311 Bartholomew Rd, Chagrin Falls, OH 44023-2303 | 2012-06-27 |
| 1639455546 | Mehmet Bozkurt | Plastic Surgery | Cleveland Clinic 9500 Euclid Avenue A60, Cleveland, OH 44195-0001 | 2011-10-25 |
| 1699063057 | Shahryar Tork | Plastic Surgery | 4850 Red Bank Rd Fl 2, Cincinnati, OH 45227 | 2011-07-19 |
| 1083914774 | Som N Tandon Md Inc | Plastic Surgery | 3551 Springdale Rd, Cincinnati, OH 45251-1343 | 2010-10-27 |
| 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.