Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1538167572 Individual Practitioner Male Practitioner

Dr. Jonathon K Nicholson , MD

Pediatrics • Defiance, OH

Professional Overview & Biography Verified Profile Summary

Dr. Jonathon Nicholson, MD is a certified Pediatrics practicing in Defiance, OH. With approximately 24 years of clinical experience since graduating from Medical College Of Ohio in 2002, Dr. Nicholson delivers high-quality medical care to the local community at 1400 E 2ND ST STE 100.

Dr. Nicholson does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1400 E 2nd St Ste 100

Defiance, OH 435129905

Telephone 4197833226

Medicare Profile & Education

Medical School

Medical College Of Ohio

Graduation Year

2002

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Defiance, OH

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
24 Yrs Matches City Avg
City Avg: 24.0 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Defiance, OH (3057 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nicholson (24 Years) 24 Yrs
Defiance Specialty Average (24.0 Years) 24.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-02-28
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MI 4301104162

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Internal Medicine - Adolescent Medicine

NUCC Taxonomy Code: 207RA0000X

State License OH 35080078

An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0010639 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Megan Schmenk , PNP

Nurse Practitioner - Pediatrics

NPI 1730875006

Pediatric Nurse Practitioner

Monica Smith , PCPNP

Nurse Practitioner - Pediatrics

NPI 1962651349

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location February 28, 2023

Registered at 1400 E 2ND ST STE 100, DEFIANCE, OH 435129905 (Tel: 4197833226)

📍
Updated Business Mailing Address February 28, 2023

Registered at 1400 E 2ND ST STE 100, DEFIANCE, OH 435129905 (Tel: 4197833226)

NPI Profile Active February 19, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location February 19, 2014

Registered at 393 LONG RAPIDS RD, ALPENA, MI 497071317 (Tel: 9893560504)

📍
Updated Business Mailing Address February 19, 2014

Registered at 1501 W CHISHOLM ST, ALPENA, MI 497071401 (Tel: 9893565241)

👤
Provider Name / Credentials Updated February 19, 2014

Recorded as JONATHON NICHOLSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2014

Internal Medicine (License #35080078 in OH)

🟢
Initial NPI Registration & Enumeration July 13, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538167572
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2005
Last Update: February 28, 2023
Sole Proprietor: No

Mailing Address

1400 E 2nd St Ste 100

Defiance, OH 435129905

Phone: 4197833226

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.