Provider Type Icon

DR. DONALD EDWARD NICOL MD NPI 1053367284


NPI Information

NPI: 1053367284
Provider Name: DR. DONALD EDWARD NICOL, MD
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 12D0621323

Address:
549 HALEMAUMAU ST
HONOLULU, HI
ZIP 96821
Phone: (808) 373-2164
Get Directions

DR. Donald Edward Nicol, MD is a specialist in Honolulu, HI with 45 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Donald Edward Nicol, MD NPI is 1053367284. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Graduation Year:1979

The provider's business location address is:

549 HALEMAUMAU ST
HONOLULU, HI
ZIP 96821-150
Phone: (808) 373-2164
Fax: (808) 377-9705

The NPI 1053367284 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 12D0621323 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/26/2006 and was last updated on 1/22/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist174400000XHAWAIIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11053367284OTHERHAWAIITRI-CARE
2D36401MEDICARE UPINHAWAII
30000046870OTHERHAWAIIHMSA
41053367284OTHERHAWAIIAETNA
504242601OTHERHAWAIIALOHACARE
604242601MEDICAIDHAWAII
70000BDGNMMEDICARE ID-TYPE UNSPECIFIEDHAWAII
8H0000BDGNMOTHERHAWAIIMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.