NPIMap

Individual provider Active NPI

Christopher Scott Nickison, MD

  • Internal Medicine Physician
  • Lancaster, OH
National Provider Identifier
1962481465
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35070006N Issued in OH
Practice address
135 N Ewing St
Suite 305
Lancaster, OH 43130-3382
Phone
(740) 681-9447
Fax
(740) 681-9966
NPI assigned
Jan 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35070006N OH Primary

Addresses

Primary practice location

135 N Ewing St
Suite 305
Lancaster, OH 43130-3382

Mailing address

135 N Ewing St
Suite 305
Lancaster, OH 43130-3382
Phone (740) 681-9447

Other identifiers 1

IdentifierTypeStateIssuer
2148205MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110119000028 OH Practitioner - Internal Medicine 2769418623 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diley Medical Group LLCGroup PAC ID 3870662752, 10 clinicians

Practice addresses (Care Compare)

7901 Diley Rd
Suite 260
Canal Winchester, OH 43110-9613
Phone (614) 920-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35070006NOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diley Medical Group LLC Internal Medicine CurrentSince Mar 1, 2025 Accepting new patients
Central Ohio Primary Care Physicians, Inc. Internal Medicine CurrentSince Dec 3, 2018 Accepting new patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Dec 3, 2018 Accepting new patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients

Locations

7901 Diley Rd
Ste 260
Canal Wnchstr, OH 43110
Phone (614) 833-0000

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

135 N Ewing St
Ste 305
Lancaster, OH 43130
Phone (740) 681-9447

655 Africa Rd
Westerville, OH 43082

Interoperability endpoints

  • Direct secure messaging: cnickison18969@copcp.medicity.net

Organizations & group practices 4

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1962481465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N EWING ST",
            "address_2": "SUITE 305",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303382",
            "telephone_number": "740-681-9447",
            "fax_number": "740-681-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N EWING ST",
            "address_2": "SUITE 305",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303382",
            "telephone_number": "740-681-9447",
            "fax_number": "740-681-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKISON",
        "first_name": "CHRISTOPHER",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35070006N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2148205",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.