NICHOLAS SYTSMA MD NPI 1255969085

NPI Information

NPI: 1255969085
Provider Name: NICHOLAS SYTSMA, MD
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 10180 SE SUNNYSIDE RD
CLACKAMAS, OR
ZIP 97015
Phone: (503) 813-2000

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NPI Details

Nicholas Sytsma, MD is an emergency medicine in Clackamas, OR with 5 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Nicholas Sytsma, MD NPI is 1255969085. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduation Year:2020

The provider's business location address is:

10180 SE SUNNYSIDE RD
CLACKAMAS, OR
ZIP 97015-970
Phone: (503) 813-2000

The NPI 1255969085 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 enumeration date for this NPI number is 3/28/2020 and was last updated on 5/30/2023.

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 Code	Taxonomy Clasification	License Number	License State	Primary
1	207P00000X	Emergency Medicine	125.075815	ILLINOIS	No
2	390200000X	Student in an Organized Health Care Education/Training Program			No
3	207P00000X	Emergency Medicine	MD214959	OREGON	Yes

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: 3/30/2025

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