RUDY J NICOLAS M.D.
NPI 1669403754
Specialist in State College, PA

Active since July 06, 2006
611 UNIVERSITY DR, 611 MRI, STATE COLLEGE, PA 16801(814) 234-2600(814) 867-5285 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Rudy J Nicolas M.d. NPPES

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

RUDY J NICOLAS M.D. (NPI 1669403754) is an individual specialist in State College, Pennsylvania and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1669403754
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameRUDY J NICOLASCredential: M.D.
Location Address611 UNIVERSITY DR, 611 MRIState College, PA 16801-6552
Mailing Address611 University Dr, 611 MriState College, PA 16801-6552 · (814) 234-2600 · Fax (814) 867-5285
Fax(814) 867-5285
Sole ProprietorYes
Enumeration DateJuly 6, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1669403754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

611 UNIVERSITY DR, State College, PA 16801

Other Identifiers 3

Medicaid683230PA
Medicare ID-Type Unspecified128226PA
Medicare UPINC31041PA

Other Providers at the Same Location NPPES 20

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

Audiologist
611 UNIVERSITY DR
STATE COLLEGE, PA 16801
Otolaryngology
611 UNIVERSITY DR
STATE COLLEGE, PA 16801
Dentist
611 UNIVERSITY DR, SUITE 112
STATE COLLEGE, PA 16801
Dentist (Orthodontics and Dentofacial Orthopedics)
611 UNIVERSITY DR, SUITE 202
STATE COLLEGE, PA 16801
Optometrist
611 UNIVERSITY DR, STE 111
STATE COLLEGE, PA 16801
Ophthalmology
611 UNIVERSITY DR
STATE COLLEGE, PA 16801
Optometrist
611 UNIVERSITY DR, STE. 111
STATE COLLEGE, PA 16801
Chiropractor
611 UNIVERSITY DR
STATE COLLEGE, PA 16801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669403754, enumerated as an "individual" on July 06, 2006.

The provider is located at 611 UNIVERSITY DR 611 MRI STATE COLLEGE, PA 16801 and the phone number is (814) 234-2600.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.