Active NPI
Louis D Nichamin, M.D.
- Specialist
- Brookville, PA
National Provider Identifier
1265423958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD040977E
- Practice address
- 50 Waterford Pike
Brookville, PA 15825-2518 - Phone
- (814) 849-8344
- Fax
- (814) 849-7130
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD040977E | PA | Primary |
Addresses
Primary practice location
50 Waterford Pike
Brookville, PA 15825-2518
Mailing address
50 Waterford Pike
Brookville, PA 15825-2518
Phone (814) 849-8344
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180010265 | Other | RR MEDICARE INDIVIDUAL | |
| 0017101710001 | Medicaid | PA | |
| CF3515 | Other | RAILROAD MEDICARE GROUP # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Labrasca Plastic Surgery LLC | Past | Accepting new patients | |
| Laurel Eye Clinic | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Plastic and Reconstructive Surgery Physician
- Brookville, PA
- NPI 1487083663
-
- Durable Medical Equipment & Medical Supplies
- Mercer, PA
- NPI 1104405554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212451200000",
"number": "1265423958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 WATERFORD PIKE",
"city": "BROOKVILLE",
"state": "PA",
"postal_code": "158252518",
"telephone_number": "814-849-8344",
"fax_number": "814-849-7130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 WATERFORD PIKE",
"city": "BROOKVILLE",
"state": "PA",
"postal_code": "158252518",
"telephone_number": "814-849-8344",
"fax_number": "814-849-7130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHAMIN",
"first_name": "LOUIS",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2008-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "MD040977E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE INDIVIDUAL",
"identifier": "180010265",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017101710001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP #",
"identifier": "CF3515",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.