Organization Active NPI

Nickels Allergy & Asthma, PC

  • Allergy Physician
  • Lemoyne, PA
National Provider Identifier
1295795300
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
MD424414 Issued in PA
Legal business name
NICKELS ALLERGY & ASTHMA, PC
Practice address
717 Market St
Suite 105
Lemoyne, PA 17043-1581
Phone
(717) 737-3472
Fax
(717) 737-9707
NPI assigned
Mar 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael S Nickels, M.D., PH.D
Title
President & Ceo
Phone
(717) 737-3472

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X MD424414 PA Primary

Addresses

Primary practice location

717 Market St
Suite 105
Lemoyne, PA 17043-1581

Mailing address

PO Box 341
Hershey, PA 17033-0341
Phone (717) 737-3472

National Provider Directory

National Provider Directory

Locations

3819 Market St
Camp Hill, PA 17011
Phone (717) 737-3472

717 Market St
Ste 105
Lemoyne, PA 17043
Phone (717) 737-3472

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295795300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 341",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170330341",
            "telephone_number": "717-737-3472",
            "fax_number": "717-737-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 MARKET ST",
            "address_2": "SUITE 105",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170431581",
            "telephone_number": "717-737-3472",
            "fax_number": "717-737-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICKELS ALLERGY & ASTHMA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NICKELS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "717-737-3472",
        "authorized_official_credential": "M.D., PH.D"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "PA",
            "license": "MD424414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemoyne, 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.

Verify at the official NPI Registry.