Nicola Demacopoulos MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35063150D Issued in OH

Legal business name

NICOLA DEMACOPOULOS MD INC

Practice address

310 Winsor Drive
Cortland, OH 44410-2705

Phone

(330) 638-0068

Fax

(330) 637-0067

NPI assigned

Jun 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Nicola D Demacopoulso, MD

Title

President

Phone

(330) 638-0068

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicola D. Demacopoulos, MD

  • Internal Medicine Physician
  • Fort Collins, CO
  • NPI 1205813839
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1013119551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 WINSOR DRIVE",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444102705",
            "telephone_number": "330-638-0068",
            "fax_number": "330-637-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 WINSOR DRIVE",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444102705",
            "telephone_number": "330-638-0068",
            "fax_number": "330-637-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLA DEMACOPOULOS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "DEMACOPOULSO",
        "authorized_official_first_name": "NICOLA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-638-0068",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35063150D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0874915",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000283762",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Myeyedr Optometry of Ohio, LLC
• Wade John Najem II, D.D.S.,M.S.D.
• Robert F Naples, DO
• Robert F. Naples Jr., D.O.
• Jaimie Lynn Nelman
• Christi Nicula
• Timothy Alan Niemi, M.D.
• Amanda Noce
• Terrence Miles O'Neill, PTA
• Ohio Living Communities

• Internal Medicine Physician in Cortland, OH
• Providers in Cortland, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.