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DR. DONTESE JAMINE NICHOLSON MD NPI 1215180328


NPI Information

NPI: 1215180328
Provider Name: DR. DONTESE JAMINE NICHOLSON, MD
Classification: Pain Medicine - 208VP0014X
Entity Type: Individual

Specialization: Interventional Pain Medicine

PECOS Registration: Yes

Address:
6820 HOSPITAL DR
STE 302
BALTIMORE, MD
ZIP 21237
Phone: (410) 682-2823
Get Directions

DR. Dontese Jamine Nicholson, MD is an interventional pain medicine pain medicine in Baltimore, MD with 17 years of experience. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. DR. Dontese Jamine Nicholson, MD NPI is 1215180328. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6820 HOSPITAL DR
STE 302
BALTIMORE, MD
ZIP 21237-352
Phone: (410) 682-2823
Fax: (410) 682-9551

The NPI 1215180328 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance (HCPCS:64483)
  • Testing for presence of drug (HCPCS:80307)
  • Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64493)
  • Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64494)
  • Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance (HCPCS:64635)
  • Injection procedure into sacroiliac joint for anesthetic or steroid (HCPCS:27096)
  • Injection of substance into spinal canal of lower back or sacrum using imaging guidance (HCPCS:62323)
  • Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance (HCPCS:20611)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)

The enumeration date for this NPI number is 11/3/2008 and was last updated on 6/18/2021.


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
1207LP2900XAnesthesiologyPain MedicineD0074632MARYLANDNo
2208VP0014XPain MedicineInterventional Pain MedicineD0074632MARYLANDYes

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.