Peter J Nicholson, M.D.
Radiology, Diagnostic Radiology in Jamestown, NY. Individual provider (NPI-1).
NPI number1225006901
StatusActive
Last updated in NPPESMay 1, 2018
Details
- NPI
- 1225006901
- Entity type
- Individual (NPI-1)
- Name
- Peter J Nicholson
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 9, 2006
- Last updated
- May 1, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DIAGNOSTIC RADIOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 176670-1 | NY | Yes |
Practice location
207 Foote AveJamestown, NY 14701-7077
Phone 716-664-9731 · Fax 716-664-9160
Mailing address
Po Box 788Jamestown, NY 14702-0788
Phone 716-664-9731 · Fax 716-664-9160
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