DR. EDWARD PETER NIKICICZ M.D.
NPI 1639267040
Pathology - Anatomic Pathology & Clinical Pathology in Petersburg, VA

NPI Status: Active since October 11, 2006

Contact Information

801 S ADAMS ST
SRMC, LAB
PETERSBURG, VA
ZIP 23803
Phone: (804) 862-5028

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  • Individual
  • Male
  • Pathology
  • Anatomic Pathology & Clinical Pathology

About EDWARD NIKICICZ

This page provides the complete NPI Profile along with additional information for Edward Nikicicz, a provider established in Petersburg, Virginia with a medical specialization in Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1639267040 assigned on October 2006. The practitioner's primary taxonomy code is 207ZP0102X with license number VA0101047885 (VA). The provider is registered as an individual and his NPI record was last updated 16 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

NPI
1639267040
Provider Name
DR. EDWARD PETER NIKICICZ M.D.
Gender
Male
Entity Type
Individual
Location Address
801 S ADAMS ST SRMC, LAB PETERSBURG, VA 23803
Location Phone
(804) 862-5028
Mailing Address
3908 MCTYRES COVE CT MIDLOTHIAN, VA 23112
Mailing Phone
(804) 744-6140
Is Sole Proprietor?
Yes
Enumeration Date
10-11-2006
Last Update Date
07-02-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pathology Anatomic Pathology & Clinical Pathology

Taxonomy Code
207ZP0102X
Type
Allopathic & Osteopathic Physicians
License No.
VA0101047885
License State
VA
Taxonomy Description
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
F26595MEDICARE UPIN (02)VA 
6600727MEDICAID (05)VA 
220000386MEDICARE PIN (08)VA 
086358OTHER (01)VABCBS

Reviews for DR. EDWARD PETER NIKICICZ M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639267040
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669461408
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 4 + 6 + 1 + 4 + 0 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1639267040 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205835725 RAPHAEL AGADA MD
Individual
Internal Medicine801 S ADAMS ST
PETERSBURG, VA 23803
(804) 862-5991
1790746527DR. RAKSHA S. SARAIYA M.D.
Individual
Anesthesiology801 S ADAMS ST
PETERSBURG, VA 23803
(804) 862-5000
1689636847 SANDRA SMITH CRNA
Individual
Nurse Anesthetist, Certified Registered801 S ADAMS ST
PETERSBURG, VA 23803
(804) 862-5000
1659333813 LINDA PATSY TANGUMA CRNA
Individual
Nurse Anesthetist, Certified Registered801 S ADAMS ST
PETERSBURG, VA 23803
(804) 862-5000
1619939824 JOSEPH WILLIAM SARGENT JR. CRNA
Individual
Nurse Anesthetist, Certified Registered801 S ADAMS ST
PETERSBURG, VA 23803
(804) 862-5000
1093777237 ANN WADE SUBLETTE CRNA
Individual
Nurse Anesthetist, Certified Registered801 S ADAMS ST
PETERSBURG, VA 23803
(804) 862-5000
1760444665 STANISLAW Z. WILK CRNA
Individual
Nurse Anesthetist, Certified Registered801 S ADAMS ST
PETERSBURG, VA 23803
(804) 862-5000
1447201744VIRGINIA EM-I MEDICAL SERVICES, PC
Organization
Emergency Medicine801 S ADAMS ST
PETERSBURG, VA 23803
(804) 862-5680
1073624888 MICHELLE A COOPER PAC
Individual
Physician Assistant801 S ADAMS ST
PETERSBURG, VA 23803
(804) 862-5000
1396856126 SUEL PETER KIM MD
Individual
Emergency Medicine801 S ADAMS ST
PETERSBURG, VA 23803
(804) 862-5000
1447349444DR. MANUEL BORJA GONZALES M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)801 S ADAMS ST LABORATORY
PETERSBURG, VA 23803
(804) 862-5010
1932229119DOGWOOD EMERGENCY PHYSICIANS
Organization
Emergency Medicine801 S ADAMS ST
PETERSBURG, VA 23803
(804) 862-5681
1477514040 LORRAINE MARIE HABAN CRNA
Individual
Nurse Anesthetist, Certified Registered801 S ADAMS ST
PETERSBURG, VA 23803
(804) 862-5000
1235142795MRS. MICHELLE LORENE BRYANT-ALBRIGHT PA-C
Individual
Physician Assistant801 S ADAMS ST
PETERSBURG, VA 23803
(804) 957-6106
1477592608VIRGINIA EM-I MEDICAL SERVICES, PC
Organization
Emergency Medicine801 S ADAMS ST
PETERSBURG, VA 23803
(804) 862-5680

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639267040, enumerated in the NPI registry as an "individual" on October 11, 2006

The provider is located at 801 S Adams St Srmc, Lab Petersburg, Va 23803 and the phone number is (804) 862-5028

The provider's speciality is Pathology with taxonomy code 207ZP0102X with a focus in Anatomic Pathology & Clinical Pathology

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 11, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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