Active NPI
Michael R Nicholson MD PLLC
- Obstetrics & Gynecology Physician
- Waterford, MI
National Provider Identifier
1295881373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- MICHAEL R NICHOLSON MD PLLC
- Practice address
- 5220 Highland Rd
Suite 230
Waterford, MI 48327-1975 - Phone
- (248) 456-8001
- NPI assigned
- Jan 25, 2007
- 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. Michael R Nicholson, MD
- Title
- Owner
- Phone
- (248) 456-8001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MI | Primary |
Addresses
Primary practice location
5220 Highland Rd
Suite 230
Waterford, MI 48327-1975
Mailing address
PO Box 1481
Clarkston, MI 48347-1481
Phone (248) 456-8001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4973416 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
1750 S Telegraph Rd
Ste 108
Bloomfield Hills, MI 48302
Phone (248) 334-4505
1750 S Telegraph Rd
Ste 104
Bloomfield Hills, MI 48302
Phone (248) 256-5209
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gynecology Physician
- Bloomfield Hills, MI
- NPI 1891747820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1423008000000",
"number": "1295881373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1481",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483471481",
"telephone_number": "248-456-8001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5220 HIGHLAND RD",
"address_2": "SUITE 230",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483271975",
"telephone_number": "248-456-8001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL R NICHOLSON MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-25",
"last_updated": "2015-02-04",
"status": "A",
"authorized_official_last_name": "NICHOLSON",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-456-8001",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4973416",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterford, MI
- Metropolitan Dental Center of Waterford PC
- Christine M Meyer, M.D.
- Kayla Meyers, LMT
- Robert M. Meyers, BSPHARM. R.PH.
- Mi Med Inc
- Nancy Michael
- Michigan Associates in Podiatric Medicine and Surgery PC
- Michigan Chiropractic Specialists of Waterford, P.C.
- Michigan Community Pharmacy LLC
- Michigan Counseling Collaborative
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.