Trent William Nichols Jr., MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD021152E Issued in PA

Practice address

1151 Cornwall Rd
Lebanon, PA 17042-7233

Phone

(717) 270-4545

Fax

(717) 270-9010

NPI assigned

Aug 19, 2005

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

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

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.

• Good Samaritan Physician Services

  • Gastroenterology Physician
  • Lebanon, PA
  • NPI 1518119593
  NPD (past)
• Lebanon MRI Associates, LTD

  dba GSH Imaging Center

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Lebanon, PA
  • NPI 1912940651
  NPD (past)
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249862400000",
    "number": "1871585497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 CORNWALL RD",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427233",
            "telephone_number": "717-270-4545",
            "fax_number": "717-270-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 CORNWALL RD",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427233",
            "telephone_number": "717-270-4545",
            "fax_number": "717-270-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "TRENT",
        "middle_name": "WILLIAM",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2009-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD021152E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Nestler
• New Pathways Counseling Services
• Hanna L Newell-Seyfert, ATC
• Amanda J Newmaster, BA
• Nhien Nguyen, MD
• James A Nicholson, MD
• Sarah Elizabeth Nieberding
• Alison Rose Nieves
• Erin J Nieves, MS
• Dasonj O Nixon, D.D.S

• Gastroenterology Physician in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Gastroenterology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; 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.