Provider Demographics
NPI:1306807482
Name:PAPAS, NICHOLAS H (MD)
Entity type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:H
Last Name:PAPAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:185 WADSWORTH RD
Mailing Address - Street 2:SUITE J
Mailing Address - City:WADSWORTH
Mailing Address - State:OH
Mailing Address - Zip Code:44281-8330
Mailing Address - Country:US
Mailing Address - Phone:330-334-7800
Mailing Address - Fax:330-334-3252
Practice Address - Street 1:185 WADSWORTH ROAD
Practice Address - Street 2:SUITE J
Practice Address - City:WADSWORTH
Practice Address - State:OH
Practice Address - Zip Code:44281-4218
Practice Address - Country:US
Practice Address - Phone:330-334-7800
Practice Address - Fax:330-334-3252
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-29
Last Update Date:2010-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35-06-3840208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0150518Medicaid
OHP00808466OtherRAILROAD MEDICARE
OHP00808466OtherRAILROAD MEDICARE
OHG00617Medicare UPIN
OHPA0779661Medicare ID - Type UnspecifiedMEDICARE