MICHAEL ROBERT NOLAN MD NPI 1871661462

NPI Information

NPI: 1871661462
Provider Name: MICHAEL ROBERT NOLAN, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 8100 OSWEGO ROAD
SUITE 220
LIVERPOOL, NY
ZIP 13090
Phone: (315) 652-6551

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NPI Details

Michael Robert Nolan, MD is a general practice in Liverpool, NY. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Michael Robert Nolan, MD NPI is 1871661462. 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:

8100 OSWEGO ROAD
SUITE 220
LIVERPOOL, NY
ZIP 13090
Phone: (315) 652-6551
Fax: (315) 652-9698

The NPI 1871661462 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 12/1/2006 and was last updated on 7/8/2007.

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
1	208D00000X	General Practice		202352	NEW YORK	Yes

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
1	015326	OTHER		MVP HEALTHCARE INSURER
2	G28340	MEDICARE UPIN
3	01529900	MEDICAID	NEW 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: 11/21/2025

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