Active NPI
Nicholas J Michols, D.O, ATC
- Sports Medicine (Family Medicine) Physician
- Annapolis, MD
National Provider Identifier
1669810164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 62968-21
- Practice address
- 695 Kinkaid Rd
Annapolis, MD 21402-1006 - Phone
- (410) 293-2273
- NPI assigned
- Jun 6, 2013
- Last updated
- Jul 26, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 62968-21 | WI | Primary |
Addresses
Primary practice location
695 Kinkaid Rd
Annapolis, MD 21402-1006
Mailing address
695 Kinkaid Rd
Annapolis, MD 21402-1006
Phone (410) 293-2273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690329600000",
"number": "1669810164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "695 KINKAID RD",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214021006",
"telephone_number": "410-293-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 KINKAID RD",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214021006",
"telephone_number": "410-293-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHOLS",
"first_name": "NICHOLAS",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.O, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-06",
"last_updated": "2023-07-26",
"certification_date": "2023-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "WI",
"license": "62968-21",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
- Amanda Meyers
- Suleika Just-Buddy Michel, M.D.
- Mary L Michels, MD
- Laura Ashley Michetti, DPM
- John Michie, D.C.
- Mid-Atlantic ENT (Anne Arundel ENT & Facial Plastic Surgery)
- Mid-Atlantic ENT, LLC (Anne Arundel ENT & Facial Plastic Surgery)
- Mid-Atlantic Spinal Rehab & Chiropractic PC
- Ebony Nicole Middleton, MSW, LMSW
- Angela Miele, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.