James A Nicholson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD063974L Issued in PA

Practice address

30 N 4TH St FL 2
Lebanon, PA 17046-5606

Phone

(717) 274-0474

Fax

(717) 270-2374

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Graysferry Medical Center

  • Internal Medicine Physician
  • Phila, PA
  • NPI 1639381254
  NPD (past)
• University of Penn - Medical Group

  • Cardiovascular Disease Physician
  • Philadelphia, PA
  • NPI 1093725145
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1265469159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N 4TH ST FL 2",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170465606",
            "telephone_number": "717-274-0474",
            "fax_number": "717-270-2374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "618 Cornwall Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170427089",
            "country_code": "US",
            "telephone_number": "717-279-6700",
            "fax_number": "717-279-6759",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Fairview Cir",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170429581",
            "country_code": "US",
            "telephone_number": "717-279-7303",
            "fax_number": "717-279-7471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 Norman Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170427481",
            "country_code": "US",
            "telephone_number": "717-639-3230",
            "fax_number": "717-274-1659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "845 Helen Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170427493",
            "country_code": "US",
            "telephone_number": "717-273-8835",
            "fax_number": "717-202-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Perri Ave",
            "address_purpose": "LOCATION",
            "city": "Myerstown",
            "state": "PA",
            "postal_code": "170673200",
            "country_code": "US",
            "telephone_number": "717-949-6581",
            "fax_number": "717-949-2816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "JAMES",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD063974L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD063974L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016808690005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Pathways Counseling Services
• Hanna L Newell-Seyfert, ATC
• Amanda J Newmaster, BA
• Nhien Nguyen, MD
• Trent William Nichols Jr., MD
• Sarah Elizabeth Nieberding
• Alison Rose Nieves
• Erin J Nieves, MS
• Dasonj O Nixon, D.D.S
• Jennifer Anne Noggle, CRNP

• Family Medicine Physician in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.