JOHN D NICHOLSON MD NPI 1699872101

NPI Information

  • NPI: 1699872101
  • Provider Name: JOHN D NICHOLSON, MD
  • Classification: Colon & Rectal Surgery - 208C00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: GLACIER CREEK OFFICE PARK- BLDG II
    6711 TOWPATH RD., SUITE 175
    EAST SYRACUSE, NY
    ZIP 13057
  • Phone: (315) 458-2211

Map and Directions

Get Directions

NPI Details

John D Nicholson, MD is a colon rectal surgery in East Syracuse, NY with 52 years of experience. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. John D Nicholson, MD NPI is 1699872101. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduation Year:1973

The provider's business location address is:

GLACIER CREEK OFFICE PARK- BLDG II
6711 TOWPATH RD., SUITE 175
EAST SYRACUSE, NY
ZIP 13057-510
Phone: (315) 458-2211
Fax: (315) 452-9025

The NPI 1699872101 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.

  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Diagnostic exam of anus using an endoscope (HCPCS:46600)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Diagnostic exam of lower portion of large bowel using a flexible endoscope (HCPCS:45330)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Colonoscopy (HCPCS:NAN13)

The enumeration date for this NPI number is 9/19/2006 and was last updated on 12/13/2023.

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 Taxonomy Specialization License Number License State Primary
1208600000XSurgery133705NEW YORKNo
2208C00000XColon & Rectal Surgery133705NEW YORKYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100456919MEDICAIDNEW YORK

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

NPI Synchronization or Removal

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.