Jonathan Matthew Nickoloff, M.D,

Surgery Physician · Spokane, WA

Individual Active NPI

NPI number 1891742664

Practice location

9922 N Nevada St
Spokane, WA 99218-1126
Phone
(509) 747-6194
Fax
(509) 838-0824

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NPI record

NPI
1891742664
Entity type
Individual (Type 1)
Enumeration date
May 27, 2006
Last updated
November 29, 2022
Certified
November 29, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X MD00044271 WA
Colon & Rectal Surgery Physician 208C00000X MD00044271 WA

Mailing address

PO Box 421
Liberty Lake, WA 99019-0421
Phone
(866) 747-2455
Fax
(509) 227-7070

About Dr. Nickoloff

Jonathan Matthew Nickoloff, M.D, is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 9922 N Nevada St, Spokane, WA 99218-1126. The NPI number 1891742664 was assigned on May 27, 2006 and the record was last updated on November 29, 2022.

Dr. Nickoloff lists 2 licenses in the registry: #MD00044271 (WA) for Surgery Physician; #MD00044271 (WA) for Colon & Rectal Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jonathan Matthew Nickoloff, M.D,?

The NPI number is 1891742664.

What is the phone number of Dr. Nickoloff?

The phone number listed for the practice location is (509) 747-6194.

Where is Dr. Nickoloff located?

9922 N Nevada St, Spokane, WA 99218-1126.

What is the taxonomy code for Dr. Nickoloff?

The primary taxonomy code is 208600000X – Surgery Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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