Enrico Nicolo, M.D. PC

Primary specialty

Ph.D. Medical GeneticsTaxonomy code 170100000X

License

MD03722L Issued in PA

Legal business name

ENRICO NICOLO, M.D. PC

Practice address

100 Stoops Dr Ste 230
Monongahela, PA 15063-3556

Phone

(724) 483-3639

Fax

(724) 483-3758

NPI assigned

Dec 3, 2007

Last updated

May 5, 2008By 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

Enrico Nicolo, M,D.

Title

President

Phone

(724) 483-3639

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Jerome Canady, M.D.

  • Transplant Surgery Physician
  • Washington, DC
  • NPI 1467504415
  NPD (past)
• Barbara Lynn Mondik, MD

  • Surgery Physician
  • Machesney Park, IL
  • NPI 1538426580
  NPD (past)

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1659553576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STOOPS DR STE 230",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150633556",
            "telephone_number": "724-483-3639",
            "fax_number": "724-483-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STOOPS DR STE 230",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150633556",
            "telephone_number": "724-483-3639",
            "fax_number": "724-483-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRICO NICOLO, M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "NICOLO",
        "authorized_official_first_name": "ENRICO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-483-3639",
        "authorized_official_credential": "M,D."
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "PA",
            "license": "MD03722L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009697470002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eagle Emergency Care, PC
• Lori Edkins, PA-C
• John Charles Eisley, D.O.
• Seema Ekbote
• Mary Beth Elliott, CRNA
• ER Dermatology Inc (Bliss Dermatology)
• Brandi Eutsey, CRNP
• Extendicare Health Facilities, Inc. (Havencrest Nursing Center)
• Justin Fabry, PHARM D
• Michelle Fell, OCCUPATIONAL THERAPI

• Ph.D. Medical Genetics in Monongahela, PA
• Providers in Monongahela, PA by specialty
• Ph.D. Medical Genetics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.