Andrea Suzanne Nikonchik, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35062599 Issued in OH

Practice address

6707 Powers Blvd
Ste 203
Parma, OH 44129-5455

Phone

(440) 845-1500

Fax

(440) 845-9227

NPI assigned

Sep 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: anikonchik37677@ehrdirect.uhhospitals.org
• Direct secure messaging: anikonchik114118@direct.metrohealth.org

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

• The Metrohealth System

  dba Metrohealth Medical Center

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1700828852
  NPD
• University Primary Care Practices

  • Pediatrics Physician
  • Twinsburg, OH
  • NPI 1326166752
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1730284241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6707 POWERS BLVD STE 203",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295464",
            "telephone_number": "440-845-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6707 POWERS BLVD",
            "address_2": "STE 203",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295455",
            "telephone_number": "440-845-1500",
            "fax_number": "440-845-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKONCHIK",
        "first_name": "ANDREA",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35062599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0848579",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730284241",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andreazets@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "6707 Powers Blvd",
            "address_2": "ste 203",
            "city": "Parma",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441295455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert George Newman, DDS
• Thomas Nezovich, OTR
• Eunice NG, RPHT
• Karen Nguyen
• Hazel Lisette Nieves
• Grace Nocero
• Amy Marie Nolan, OTR/L
• Mykohl Nolden
• North Coast Smiles
• Jacob North

• Pediatrics Physician in Parma, OH
• Providers in Parma, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.