Rowan Reece Nickol, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

47329 Issued in OH

Practice address

280 Looney Rd
Suite 204
Piqua, OH 45356-4199

Phone

(937) 773-4123

Fax

(937) 773-7717

NPI assigned

Aug 12, 2005

Last updated

Nov 27, 2013By the provider in NPPES

Sex

Male

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385510400000",
    "number": "1780686311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 LOONEY RD",
            "address_2": "SUITE 204",
            "city": "PIQUA",
            "state": "OH",
            "postal_code": "453564199",
            "telephone_number": "937-773-4123",
            "fax_number": "937-773-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 LOONEY RD",
            "address_2": "SUITE 204",
            "city": "PIQUA",
            "state": "OH",
            "postal_code": "453564199",
            "telephone_number": "937-773-4123",
            "fax_number": "937-773-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKOL",
        "first_name": "ROWAN",
        "middle_name": "REECE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2013-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "47329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0572983",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GR MEDICAID NUMBER",
            "identifier": "0240840",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GR MEDICARE NUMBER",
            "identifier": "MI9912194",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelly Nash, LPN CERTIFICATION
• Corey L Nelson
• Rhoda Nelson, LPN
• New Harbor Health Center LLC
• New Patterns LLC
• Brittany Nicole Norris
• Amanda Lynn Nowman, MSW, LSW
• Shanda Obringer, LPN
• Francis N Ogbolu, D.O.
• Kristie Lynn Ogden, CNP

• Surgery Physician in Piqua, OH
• Providers in Piqua, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.