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KEITH A NICHOLS MD, PLLC
NPI 1346421211
Family Medicine in Owego, NY

Active since November 20, 2007
130 TEMPLE ST, SUITE 100, OWEGO, NY 13827(607) 687-5616 Get Directions Write a Review

NPPES record last updated: November 20, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Keith A Nichols Md, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH A NICHOLS MD, PLLC (NPI 1346421211) is a healthcare organization registered as a family medicine in Owego, New York and active in the NPI registry since November 2007. The organization lists Jane E Nichols, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1346421211
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKEITH A NICHOLS MD, PLLC
Location Address130 TEMPLE ST, SUITE 100Owego, NY 13827-1408
Mailing Address130 Temple St, Suite 100Owego, NY 13827-1408 · (607) 687-5616
Phone(607) 687-5616
Organization SubpartNo
Authorized OfficialJane E NicholsBusiness Manager · (607) 687-5616
Enumeration DateNovember 20, 2007
✔ NPI 1346421211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 141416-1
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
130 TEMPLE ST, Owego, NY 13827
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Other Identifiers 3

Medicaid00709866NY
Medicare PINBA0719NY
Medicare UPINB82245NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEITH ANDREW NICHOLS M.D.
Family Medicine
130 TEMPLE ST, SUITE 100
OWEGO, NY 13827
Tioga County (607) 687-5616
BARRY S SCHECTER LCSW
Social Worker (Clinical)
130 TEMPLE ST, SUITE 100
OWEGO, NY 13827
Tioga County (607) 687-5616
MS. ELIZABETH GERTRUDE SALON NP
Nurse Practitioner (Family)
130 TEMPLE ST, SUITE 100
OWEGO, NY 13827
Tioga County (607) 687-5616

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith A Nichols MD, PLLC's NPI number?

The NPI number for Keith A Nichols MD, PLLC is 1346421211. It was assigned to this organization in the NPPES registry on November 20, 2007.

Where is Keith A Nichols MD, PLLC located?

Keith A Nichols MD, PLLC is located at 130 Temple St Suite 100, Owego, NY 13827. The listed phone number is (607) 687-5616.

What is Keith A Nichols MD, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Keith A Nichols MD, PLLC was last updated on November 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.