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Deactivated NPI 1790755882 Deactivated / Inactive NPI Male Practitioner

Dr. Nicholas W Dicuccio , MD

Surgery • Lock Haven, PA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Nicholas Dicuccio has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 23, 2006
NPI Deactivation Date May 15, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Dicuccio, MD was a registered Surgery practicing in Lock Haven, PA. Throughout an active medical career spanning 18 years, Dr. Dicuccio provided care at the practice location at 930 BELLEFONTE AVE until profile deactivation on 2024-05-15.

Practice Location & Contact Primary Location

Practice Address

930 Bellefonte Ave
Ste 102

Lock Haven, PA 17745

Telephone 5708935209
Fax 5708935604
Associated Practice Facility / Clinic
🏢 Lock Haven Medical Center Inc Facility NPI 1093829855

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Lock Haven, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Lock Haven, PA (1976 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

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD011064E

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

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

8 Associated Practitioners
Dr. Mitchell Rossman , DPM

Podiatrist - Foot Surgery

NPI 1053486936

Doctor of Podiatric Medicine

NPI 1164506739

Doctor of Optometry

Brianna Batdorf

Physician Assistant - Medical

NPI 1407265267
Robert Saul , RCS

Specialist/Technologist Cardiovascular - Sonography

NPI 1437163672
NPI 1508924606

Doctor of Medicine (M.D.)

Dr. Alison Botek , MD

Dermatology - Procedural Dermatology

NPI 1750484739

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 15, 2024

Record deactivated on May 15, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 930 BELLEFONTE AVE, STE 102, LOCK HAVEN, PA 17745 (Tel: 5708935209)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 89, 930 BELLEFONTE AVE STE 102, LOCK HAVEN, PA 17745 (Tel: 5708935209)

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Provider Name / Credentials Updated July 08, 2007

Recorded as NICHOLAS DICUCCIO, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #MD011064E in PA)

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Initial NPI Registration & Enumeration January 23, 2006

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: 1790755882
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2006
Last Update: July 08, 2007
Deactivation Date: May 15, 2024

Mailing Address

Po Box 89, 930 Bellefonte Ave Ste 102

Lock Haven, PA 17745

Phone: 5708935209

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.