LUKE C. NICHOLAS MD – NPI #1467509620
Dermatology

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Health Care Provider Taxonomy Code for Dermatology

LUKE NICHOLAS is a dermatologist located in ROCKFORD, MI. NPPES has assigned the NPI number 1467509620 to LUKE NICHOLAS on January 03, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207ND0101X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in MOHS-Micrographic Surgery

The NPI profile was last updated on Jul 18, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LUKE NICHOLAS below.

NPI Profile for
LUKE C. NICHOLAS

NPI Number
1467509620
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
LUKE C. NICHOLAS
Credentials
MD
Primary location
6150 NORTHLAND DRIVE
ROCKFORD, MI 49341
Phone: (616) 942-9343 Fax: (616) 942-2538
2 Other location(s):
3434 Rivertown Point Ct SW
Grandville, MI 49418-3076
Phone: (616) 257-3344
Fax: (616) 257-1491
3290 N Wellness Dr Ste 240
Holland, MI 49424-7261
Phone: (616) 395-9379
Fax: (616) 820-1457
Mailing address
3434 RIVERTOWN POINT CT SW
GRANDVILLE, MI 49418-3076
Phone: (616) 257-3344 Fax: (616) 257-1491
Sole Proprietor
No
Updated
Certification Date
Jul 12, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ND0101X
- Dermatology / MOHS-Micrographic Surgery (Primary)		 MI 4301101878
207N00000X
- Dermatology		 MI 4301101878

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
CLEVELAND CLINIC LERNER COLLEGE OF MEDICINE OF CASE WESTERN RESERVE UNIVERSITY - Graduated 2006
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
LUKE NICHOLAS is affiliated with the following medical group(s):
  • HOSPITAL
    • SPECTRUM HEALTH
      100 MICHIGAN ST NE
      GRAND RAPIDS, MI 49503

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