John C. Nicholson, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0420010190 Issued in VT

Legal business name

JOHN C. NICHOLSON, MD

Practice address

2 Crest Rd
Saint Albans, VT 05478-9753

Phone

(802) 524-4554

Fax

(802) 524-3216

NPI assigned

Mar 5, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John C Nicholson, M.D.NPI 1497723795

Title

Physician Owner

Phone

(802) 524-4554

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Nicholson, MD

  • Internal Medicine Physician
  • Statesville, NC
  • NPI 1497723795
  NPD (past) Authorized official

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639208903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1363",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054951363",
            "telephone_number": "802-524-7100",
            "fax_number": "802-524-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CREST RD",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054789753",
            "telephone_number": "802-524-4554",
            "fax_number": "802-524-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C. NICHOLSON, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "802-524-4554",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "0420010190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN2606",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Jarvis, PHARMD, RPH
• Meagan Jarvis
• JBJD Inc (Jack Rixon Pharmacy)
• Kelsey Jenkins
• Trevor James Jewett, MA
• Jessica Johnson
• John H Johnson, OD
• Stephanie Johnson
• Brian Lee Jokinen, PA-C
• Jordan Lieberman DDS LLC

• Internal Medicine Physician in Saint Albans, VT
• Providers in Saint Albans, VT by specialty
• Internal Medicine Physician in Vermont

• 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.