Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457331381 Individual Practitioner Male Practitioner

Dr. Nicanor P San Nicolas , MD

Pediatrics • Seaman, OH

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Nicanor San Nicolas, MD is a registered healthcare professional specializing in Pediatrics in Seaman, OH. Official NPI practice address is registered at 218 STERN RD.

Practice Location & Contact Primary Location

Practice Address

218 Stern Rd

Seaman, OH 456799607

Telephone 9373861379
Fax 9373860129
Associated Practice Facility / Clinic
🏢 Healthsource Of Ohio, Inc. Facility NPI 1205864162

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Seaman, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Seaman, 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

Medical Specialties & State Licenses

CMS Verified: 2020-09-10
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OH 35079956

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2260708 (OH)

Practice Associates & Co-Workers

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

7 Associated Practitioners
NPI 1053336305

Doctor of Dental Medicine

Dr. Edward Babey , DDS

Dentist - General Practice

NPI 1255381349

Doctor of Dental Surgery

NPI 1326477910

Doctor of Dental Surgery

Robin Havens , CNP

Nurse Practitioner - Family

NPI 1447408430

Certified Nurse Practitioner

NPI 1497735054

Doctor of Medicine (M.D.)

Dr. Gregory Verderber , DDS

Dentist - General Practice

NPI 1770533861

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address May 30, 2019

Registered at 424 WARDS CORNER RD STE 200, LOVELAND, OH 451406966 (Tel: 5137074041)

NPI Profile Active July 22, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location July 22, 2009

Registered at 218 STERN RD, SEAMAN, OH 456799607 (Tel: 9373861379)

📍
Updated Business Mailing Address July 22, 2009

Registered at 5400 DUPONT CIR, SUITE A, MILFORD, OH 451502793 (Tel: 5135767700)

👤
Provider Name / Credentials Updated July 22, 2009

Recorded as NICANOR SAN NICOLAS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2009

Pediatrics (License #35079956 in OH)

🟢
Initial NPI Registration & Enumeration January 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Nicanor San Nicolas. Be the first to share your experience!

Sign in to leave a review for Dr. Nicanor San Nicolas

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1457331381
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2006
Last Update: September 10, 2020
Sole Proprietor: No

Mailing Address

424 Wards Corner Rd Ste 200

Loveland, OH 451406966

Phone: 5137074041

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.