CYNTHIA L. NICHOLSON MD – NPI #1619381381
Dermatology

A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.

CYNTHIA NICHOLSON is a dermatologist located in MINNEAPOLIS, MN. NPPES has assigned the NPI number 1619381381 to CYNTHIA NICHOLSON on June 20, 2014. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name CYNTHIA LYNN KOSLOSKY. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207NP0225X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in Pediatric Dermatology

The NPI profile was previously updated about 3 years ago on Sep 19, 2023. 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 CYNTHIA NICHOLSON below.

NPI Profile for
CYNTHIA L. NICHOLSON

NPI Number
1619381381
Enumeration Date

(about 12 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
CYNTHIA L. NICHOLSON
Former Name: CYNTHIA LYNN KOSLOSKY
Credentials
MD
Primary location
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454-1450
Phone: (612) 672-6000 Fax:
2 Other location(s):
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone: (734) 936-4000
1101 W University Dr
3-North
Rochester, MI 48307-1863
Phone: (248) 601-4900
Fax: (248) 601-4994
Mailing address
3621 S STATE ST
ANN ARBOR, MI 48108-1633
Phone: (734) 647-5299 Fax:
Sole Proprietor
No
Updated
Certification Date
Sep 19, 2023

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
207NP0225X
- Dermatology / Pediatric Dermatology (Primary)
MI 4301510051

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
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE - Graduated 2014
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

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