DR. EDWARD PETER NIKICICZ M.D.
NPI 1639267040
Pathology - Anatomic Pathology & Clinical Pathology in Petersburg, VA

Q: What is Edward Nikicicz's NPI number?

The NPI number for Edward Nikicicz is 1639267040. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Q: What is Edward Nikicicz's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Edward Nikicicz was last updated on July 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since October 11, 2006

801 S ADAMS ST, SRMC, LAB, PETERSBURG, VA 23803(804) 862-5028 Get Directions Write a Review

NPPES record last updated: July 2, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Edward Peter Nikicicz M.d. NPPES

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

DR. EDWARD PETER NIKICICZ M.D. (NPI 1639267040) is an individual anatomic pathology & clinical pathology provider in Petersburg, Virginia, licensed in Virginia (VA0101047885) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1639267040

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameDR. EDWARD PETER NIKICICZCredential: M.D.

Location Address801 S ADAMS ST, SRMC, LABPetersburg, VA 23803-5149

Mailing Address3908 Mctyres Cove CtMidlothian, VA 23112-4665 · (804) 744-6140

Phone(804) 862-5028

Sole ProprietorYes

Enumeration DateOctober 11, 2006

Last NPPES UpdateJuly 2, 2009

✔ NPI 1639267040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in VA · VA0101047885

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

801 S ADAMS ST, Petersburg, VA 23803

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Other Identifiers 4

Medicare UPINF26595VA

Medicaid6600727VA

Medicare PIN220000386VA

Other086358VA · Bcbs

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

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

MICHELLE A COOPER PAC

Physician Assistant

801 S ADAMS ST
PETERSBURG, VA 23803

Dinwiddie County (804) 862-5000

ANN WADE SUBLETTE CRNA

Nurse Anesthetist, Certified Registered

801 S ADAMS ST
PETERSBURG, VA 23803

Dinwiddie County (804) 862-5000

RAPHAEL AGADA MD

Internal Medicine

801 S ADAMS ST
PETERSBURG, VA 23803

Dinwiddie County (804) 862-5991

MRS. MICHELLE LORENE BRYANT-ALBRIGHT PA-C

Physician Assistant

801 S ADAMS ST
PETERSBURG, VA 23803

Dinwiddie County (804) 957-6106

SUEL PETER KIM MD

Emergency Medicine

801 S ADAMS ST
PETERSBURG, VA 23803

Dinwiddie County (804) 862-5000

VIRGINIA EM-I MEDICAL SERVICES, PC

Emergency Medicine

801 S ADAMS ST
PETERSBURG, VA 23803

Dinwiddie County (804) 862-5680

DR. MANUEL BORJA GONZALES M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

801 S ADAMS ST, LABORATORY
PETERSBURG, VA 23803

Dinwiddie County (804) 862-5010

LORRAINE MARIE HABAN CRNA

Nurse Anesthetist, Certified Registered

801 S ADAMS ST
PETERSBURG, VA 23803

Dinwiddie County (804) 862-5000

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 Edward Nikicicz's NPI number?

The NPI number for Edward Nikicicz is 1639267040. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Edward Nikicicz located?

Edward Nikicicz practices at 801 S Adams St Srmc, Lab, Petersburg, VA 23803. The listed phone number is (804) 862-5028.

What is Edward Nikicicz's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

When was this NPI record last updated?

The NPPES record for Edward Nikicicz was last updated on July 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.