Nicholas Noyce, DO

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2024026005 Issued in MO

Practice address

1316 Country Club Dr
Kirksville, MO 63501-5362

Phone

(660) 627-7546

NPI assigned

Apr 3, 2023

Last updated

Nov 18, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cleaver Dermatology PC

  • Dermatology Physician
  • Kirksville, MO
  • NPI 1013452861
  NPD
• Lloyd J. Cleaver, D.O., L.L.C.

  • Dermatology Physician
  • Kirksville, MO
  • NPI 1144366428
  NPD

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1013612829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N LEE AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 COUNTRY CLUB DR",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635015362",
            "telephone_number": "660-627-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOYCE",
        "first_name": "NICHOLAS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-03",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2024026005",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OK",
            "license": "0627R",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northeast Missouri Health Council, Inc. (Northeast Missouri Dental Clinic)
• Northeast Missouri Physicians Services
• William Norton, LPC
• Joseph W Novinger, D.O.
• Tracy Novinger, APRN
• OB GYN Care of Northeast Missouri LLC
• Taylor Oberhelman-McLeod
• Eryk Ocasio, DPT
• Mia Okubo
• Cameron Sinclair Olsen, DO

• Dermatology Physician in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Dermatology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.