GARY L NICHOLSON M.D. - NPI 1407806474 - Internal Medicine in Kettering, OH

Q: What is Gary Nicholson's NPI number?

The NPI number for Gary Nicholson is 1407806474. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Q: What is Gary Nicholson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Gary Nicholson was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Gary L Nicholson M.d. NPPES

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

GARY L NICHOLSON M.D. (NPI 1407806474) is an individual hematology & oncology provider in Kettering, Ohio, licensed in Ohio (35034705) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1407806474

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameGARY L NICHOLSONCredential: M.D.

Location Address3120 GOVERNORS PLACE BLVDKettering, OH 45409-1328

Mailing Address2264 Berrycreek DrKettering, OH 45440-2621

Phone(937) 293-1622

Sole ProprietorNo

Enumeration DateMay 11, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1407806474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in OH · 35034705

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

3120 GOVERNORS PLACE BLVD, Kettering, OH 45409

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