NPIMap

Organization Active NPI

Oscar Nicholson Jr MD Inc

  • Surgery Physician
  • Cleveland Heights, OH
National Provider Identifier
1144491200
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25056957 Issued in OH
Legal business name
OSCAR NICHOLSON JR MD INC
Practice address
5 Severance Cir
Suite 215
Cleveland Heights, OH 44118-1566
Phone
(216) 691-0028
Fax
(216) 691-0030
NPI assigned
Mar 17, 2008
Last updated
Jun 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Dr. Oscar Nicholson Jr., MDNPI 1477539674
Title
President
Phone
(216) 691-0028

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25056957 OH Primary

Addresses

Primary practice location

5 Severance Cir
Suite 215
Cleveland Heights, OH 44118-1566

Mailing address

5 Severance Cir
Suite 215
Cleveland Heights, OH 44118-1566
Phone (216) 691-0028

Other identifiers 1

IdentifierTypeStateIssuer
28056860600OtherOHBWC

National Provider Directory

National Provider Directory

Locations

5 Severance Cir
Ste 2
Cleveland Heights, OH 44118
Phone (216) 691-0028

5 Severance Cir
Ste 215
Cleveland Heights, OH 44118
Phone (216) 421-0012

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1144491200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SEVERANCE CIR",
            "address_2": "SUITE 215",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181566",
            "telephone_number": "216-691-0028",
            "fax_number": "216-691-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SEVERANCE CIR",
            "address_2": "SUITE 215",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181566",
            "telephone_number": "216-691-0028",
            "fax_number": "216-691-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCAR NICHOLSON JR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-691-0028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "25056957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "28056860600",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.