Active NPI
Frank Nikolaidis, DO
- Anesthesiology Physician
- Massillon, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 34006497
- Practice address
- 400 Austin Ave NW
Massillon, OH 44646-3554 - Phone
- (330) 837-7200
- Fax
- (330) 837-7572
- NPI assigned
- May 18, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 34006497 | OH | Primary |
Addresses
Primary practice location
400 Austin Ave NW
Massillon, OH 44646-3554
Mailing address
PO Box 74994
Cleveland, OH 44194-1077
Phone (614) 430-5724
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00091935 | Other | MEDICARE RAILROAD | |
| 0351711 | Medicaid | OH | |
| 000000328570 | Other | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Philadelphia College of Osteopathic Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 E Carroll St
Salisbury, MD 21801-5422
6040 Public Landing Rd
Snow Hill, MD 21863-2453
Phone (410) 629-0041
9733 Healthway Dr
Berlin, MD 21811-1155
Phone (410) 641-1100
Hospital & facility affiliations
- Atlantic General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.2 of 100
- Quality
- 70.92
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 71.41
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34006497 | OH | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic General Hospital Corporation | Anesthesiology | Current | Accepting new patients |
| Tidalhealth Specialty Care, LLC | Current | Accepting new patients | |
| Anesthesia Company, LLC | Anesthesiology | Current | Accepting new patients |
| Tidalhealth Atlantic, Inc. | Current | Accepting new patients | |
| DHSC LLC | Past | Accepting new patients | |
| Aultman North Canton Medical Group | Past | Accepting new patients |
Locations
2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601
10026 Old Ocean City Blvd
Ste 1
Berlin, MD 21811
9714 Healthway Dr
Berlin, MD 21811
Phone (410) 641-2600
70 Sherry Ln
Ste 101
Prnc Frederck, MD 20678
Phone (410) 889-2040
100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100
6040 Public Landing Rd
Snow Hill, MD 21863
Phone (410) 629-0041
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Berlin, MD
- NPI 1871582171
Anesthesiology
-
- Medical Specialty Clinic/Center
- Salisbury, MD
- NPI 1619504735
-
- Anesthesiology Physician
- Annapolis, MD
- NPI 1871548156
-
- Community/Retail Pharmacy
- Berlin, MD
- NPI 1740963859
-
- Multi-Specialty Clinic/Center
- North Canton, OH
- NPI 1245257088
-
- Multi-Specialty Clinic/Center
- Massillon, OH
- NPI 1386665149
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Berlin, MD
- NPI 1053309120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187827200000",
"number": "1770536187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 74994",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441941077",
"telephone_number": "614-430-5724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 AUSTIN AVE NW",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446463554",
"telephone_number": "330-837-7200",
"fax_number": "330-837-7572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIKOLAIDIS",
"first_name": "FRANK",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2007-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "34006497",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00091935",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0351711",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000328570",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Massillon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.