Individual provider Active NPI

Philip Dunbar Nicol, MD

  • Cardiovascular Disease Physician
  • Butler, PA
National Provider Identifier
1700887197
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD049708L Issued in PA
Practice address
127 Oneida Valley Rd
Suite 400
Butler, PA 16001-2239
Phone
(866) 620-6761
Fax
(724) 282-3043
NPI assigned
Aug 9, 2005
Last updated
Aug 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD049708L PA Primary
Nuclear Cardiology Physician 207UN0901X MD049708L PA

Addresses

Primary practice location

127 Oneida Valley Rd
Suite 400
Butler, PA 16001-2239

Mailing address

127 Oneida Valley Rd
Suite 400
Butler, PA 16001-2239
Phone (866) 620-6761

Other practice location 1

935 Thorn Run Rd
Moon Twp, PA 15108-2861
Phone (724) 773-4502

Other identifiers 2

IdentifierTypeStateIssuer
0014235940013MedicaidPA
2589140MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050412001179 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9032156930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Butler Medical ProvidersGroup PAC ID 7416840160, 355 clinicians

Practice addresses (Care Compare)

127 Oneida Valley Rd
Suite 400
Butler, PA 16001-2251
Phone (724) 431-0550

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD049708LPAMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers CurrentSince Jun 1, 2020 Accepting new patients
Butler Medical Providers CurrentSince Jun 1, 2020 Accepting new patients
Butler Medical Providers Current Accepting new patients
Allegheny Clinic Past Accepting new patients
Butler Medical Providers Past Accepting new patients
Butler Medical Providers Past Accepting new patients

Locations

1 Hospital Way
Butler, PA 16001
Phone (412) 492-0800

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

330 N Point Dr
Ste 301
Clarion, PA 16214
Phone (814) 393-6052

1 Park Way
Seneca, PA 16346
Phone (814) 676-5444

100 Northpointe Cir
Ste 103
Seven Fields, PA 16046
Phone (412) 357-8900

300 Northpointe Cir
Ste 104
Seven Fields, PA 16046
Phone (833) 391-0738

Interoperability endpoints

  • Direct secure messaging: philip.nicol@direct-address.net

Organizations & group practices 6

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 5

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1700887197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 ONEIDA VALLEY RD",
            "address_2": "SUITE 400",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012239",
            "telephone_number": "866-620-6761",
            "fax_number": "724-282-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 ONEIDA VALLEY RD",
            "address_2": "SUITE 400",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012239",
            "telephone_number": "866-620-6761",
            "fax_number": "724-282-3043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "935 Thorn Run Rd",
            "address_purpose": "LOCATION",
            "city": "Moon Twp",
            "state": "PA",
            "postal_code": "151082861",
            "country_code": "US",
            "telephone_number": "724-773-4502",
            "fax_number": "412-264-2425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICOL",
        "first_name": "PHILIP",
        "middle_name": "DUNBAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD049708L",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "PA",
            "license": "MD049708L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014235940013",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2589140",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.