Active NPI
Elizabeth Nicholas, M.D.
- Anesthesiology Physician
- Hagerstown, MD
National Provider Identifier
1922066273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- D0033808
- Practice address
- 11110 Medical Campus Rd
Suite 200
Hagerstown, MD 21742-6700 - Phone
- (301) 714-4300
- Fax
- (301) 714-4324
- NPI assigned
- May 3, 2006
- Sex
- Female
- 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 | D0033808 | MD | Primary |
Addresses
Primary practice location
11110 Medical Campus Rd
Suite 200
Hagerstown, MD 21742-6700
Mailing address
11110 Medical Campus Rd
Suite 200
Hagerstown, MD 21742-6700
Phone (301) 714-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04339-1800 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316649600000",
"number": "1922066273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11110 MEDICAL CAMPUS RD",
"address_2": "SUITE 200",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217426700",
"telephone_number": "301-714-4300",
"fax_number": "301-714-4324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11110 MEDICAL CAMPUS RD",
"address_2": "SUITE 200",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217426700",
"telephone_number": "301-714-4300",
"fax_number": "301-714-4324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLAS",
"first_name": "ELIZABETH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-03",
"last_updated": "2011-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MD",
"license": "D0033808",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04339-1800",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.