Michael S Nickels, M.D., PH.D

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

MD424414 Issued in PA

Practice address

1620 S Queen St
York, PA 17403-4637

Phone

(717) 843-6663

Fax

(717) 852-0670

NPI assigned

Mar 27, 2006

Last updated

Apr 17, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1922068493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 S QUEEN ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174034637",
            "telephone_number": "717-843-6663",
            "fax_number": "717-852-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 S QUEEN ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174034637",
            "telephone_number": "717-843-6663",
            "fax_number": "717-852-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKELS",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "M.D., PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "PA",
            "license": "MD424414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Nichisti, RD
• Joanne Nicholson, LMT
• Philip Geoffrey Nicholson Jr., MD
• Thomas J Nicholson, MD
• Walter Jay Nicholson, MD
• Carolyn Miller Nickey, CRNP
• Sara Niedoba
• Sara Allison Niester
• Nightingale Health & Wellness Services
• Kristina Nikolova

• Allergy Physician in York, PA
• Providers in York, PA by specialty
• Allergy Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.