Individual provider Active NPI

Nicholas Freeman Volchko, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Corning, NY
National Provider Identifier
1619313970
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
307853 Issued in NY
Practice address
130 Center Way
Corning, NY 14830-2287
Phone
(607) 973-8000
NPI assigned
May 14, 2013
Last updated
Mar 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 35-133391 OH
Pain Medicine (Anesthesiology) Physician 207LP2900X 307853 NY Primary

Addresses

Primary practice location

130 Center Way
Corning, NY 14830-2287

Mailing address

1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858

Other practice location 1

530 S Jackson St
Room C2A01
Louisville, KY 40202-1675
Phone (502) 852-5851

Other practice location 2

1611 S Green Rd
South Euclid, OH 44121-4129
Phone (800) 284-7246

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nvolchko164965@direct-guthrie.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180724003890 OH Practitioner - Pain Management 7012262777 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
West Virginia University School of Medicine
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Professional Care, LLCGroup PAC ID 7416857198, 53 clinicians

Practice addresses (Care Compare)

1330 Mercy Dr NW
Canton, OH 44708-2625

7337 Caritas Cir NW
Massillon, OH 44646-9126
Phone (330) 830-6110

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Pain Care Center, Inc CurrentSince Mar 1, 2023 Accepting new patients
Humanistic Counseling Center LLC CurrentSince Jan 1, 2024 Accepting new patients
Lake Hospital System Inc CurrentSince Feb 16, 2019 Accepting new patients
Lake Hospital System, Inc CurrentSince Feb 16, 2019 Accepting new patients
Mercy Professional Care, LLC CurrentSince Sep 28, 2018 Accepting new patients
Lake Hospital System Inc Current Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Comprehensive Pain Care Center, Inc PastSince Mar 1, 2023 Accepting new patients

Locations

1330 Mercy Dr NW
Ste 319
Canton, OH 44708
Phone (330) 580-4706

4367 Rocky River Dr
Ste 800
Cleveland, OH 44135
Phone (330) 312-1942

4804 Leavitt Rd
Ste A
Lorain, OH 44053
Phone (440) 989-2066

10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656

224 W Lorain St
Ste C
Oberlin, OH 44074
Phone (440) 776-7009

5105 Som Center Rd
Ste 202
Willoughby, OH 44094
Phone (440) 953-5760

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1619313970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUTHRIE SQ",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188401625",
            "telephone_number": "570-888-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CENTER WAY",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302287",
            "telephone_number": "607-973-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 S Jackson St",
            "address_2": "Room C2A01",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021675",
            "country_code": "US",
            "telephone_number": "502-852-5851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1611 S Green Rd",
            "address_purpose": "LOCATION",
            "city": "South Euclid",
            "state": "OH",
            "postal_code": "441214129",
            "country_code": "US",
            "telephone_number": "800-284-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOLCHKO",
        "first_name": "NICHOLAS",
        "middle_name": "FREEMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-14",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OH",
            "license": "35-133391",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "307853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nvolchko164965@direct-guthrie.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "130 Center Way",
            "city": "Corning",
            "state": "NY",
            "country_code": "US",
            "postal_code": "148302287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corning, NY

Sources for this page

Verify at the official NPI Registry.