Individual provider Active NPI

Marcus Nichols, DO

  • Internal Medicine Physician
  • Marietta, OH
National Provider Identifier
1750350559
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34-00-8658 Issued in OH
Practice address
802 Wayne St Ste 206
Marietta, OH 45750-3300
Phone
(740) 373-7999
Fax
(740) 373-3151
NPI assigned
Mar 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 34-00-8658 OH
Internal Medicine Physician 207R00000X 34-00-8658 OH Primary

Addresses

Primary practice location

802 Wayne St Ste 206
Marietta, OH 45750-3300

Mailing address

416 Colegate Dr BLDG 3
Marietta, OH 45750-9549
Phone (740) 374-3526

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mnichols@mhsystem.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20051202000648 OH Practitioner - Family PracticePractitioner - Pediatric Medicine 2567482680 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Pediatric Medicine
Education
Ohio University, College of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marietta Memorial HospitalGroup PAC ID 8224928965, 387 clinicians

Practice addresses (Care Compare)

401 Matthew St
Marietta, OH 45750-1635
Phone (740) 374-1400

802 Wayne St
Marietta, OH 45750-3300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Selby General Hospital CurrentSince Aug 22, 2025 Accepting new patients
Selby General Hospital Current Accepting new patients
Marietta Memorial Hospital CurrentSince Oct 1, 2010 Accepting new patients
Selby General Hospital CurrentSince Aug 22, 2025 Accepting new patients
Marietta Memorial Hospital CurrentSince Oct 1, 2010 Accepting new patients

Locations

416 Colegate Dr
#3
Marietta, OH 45750
Phone (740) 236-9047

802 Wayne St
Ste 206
Marietta, OH 45750
Phone (740) 373-0669

400 Matthew St
Ste 101
Marietta, OH 45750
Phone (740) 568-4150

800 Pike St
Ste 2
Marietta, OH 45750
Phone (740) 373-1449

802 Wayne St
Ste 204
Marietta, OH 45750
Phone (740) 374-4945

1106 Colegate Dr
Marietta, OH 45750
Phone (740) 374-7700

701 Hildreth Ln
Marietta, OH 45750
Phone (740) 371-7194

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

802 Wayne St
Marietta, OH 45750
Phone (740) 373-6726

400 Matthew St
Ste 220
Marietta, OH 45750
Phone (740) 374-4273

Interoperability endpoints

  • Direct secure messaging: marcus.nichols@mmhs.medicity.net

Organizations & group practices 5

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 3

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1750350559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 COLEGATE DR BLDG 3",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457509549",
            "telephone_number": "740-374-3526",
            "fax_number": "740-374-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 WAYNE ST STE 206",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457503300",
            "telephone_number": "740-373-7999",
            "fax_number": "740-373-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "MARCUS",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "34-00-8658",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34-00-8658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mnichols@mhsystem.org",
            "affiliation": "N",
            "address_1": "802 Wayne St",
            "address_2": "Suite 206",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457503300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

Verify at the official NPI Registry.