Active NPI
John H Nicholson DO PC
- Family Medicine Physician
- Palmerton, PA
National Provider Identifier
1235150384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS003895L
- Legal business name
- JOHN H NICHOLSON DO PC
- Practice address
- 169 Delaware Ave
Palmerton, PA 18071-1708 - Phone
- (610) 826-5805
- NPI assigned
- Jul 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John H Nicholson, DO
- Title
- Pres
- Phone
- (610) 826-5805
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS003895L | PA | Primary |
Addresses
Primary practice location
169 Delaware Ave
Palmerton, PA 18071-1708
Mailing address
169 Delaware Ave
Palmerton, PA 18071-1708
Phone (610) 826-5805
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03217900 | Other | PA | CAPITAL BLUE CROSS |
National Provider Directory
National Provider DirectoryLocations
169 Delaware Ave
Palmerton, PA 18071
Phone (610) 824-2474
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Palmerton, PA
- NPI 1205821469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1235150384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 DELAWARE AVE",
"city": "PALMERTON",
"state": "PA",
"postal_code": "180711708",
"telephone_number": "610-826-5805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 DELAWARE AVE",
"city": "PALMERTON",
"state": "PA",
"postal_code": "180711708",
"telephone_number": "610-826-5805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN H NICHOLSON DO PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NICHOLSON",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "610-826-5805",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "PA",
"license": "OS003895L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "03217900",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palmerton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.