MICHAEL ROBERT NOLAN MD
NPI 1871661462
General Practice in Liverpool, NY

Q: What is Michael Nolan's NPI number?

The NPI number for Michael Nolan is 1871661462. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Q: What is Michael Nolan's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Nolan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 December 01, 2006PECOS Enrolled

8100 OSWEGO ROAD, SUITE 220, LIVERPOOL, NY 13090(315) 652-6551(315) 652-9698 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michael Robert Nolan Md NPPES

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

MICHAEL ROBERT NOLAN MD (NPI 1871661462) is an individual general practice provider in Liverpool, New York, licensed in New York (202352) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871661462

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameMICHAEL ROBERT NOLANCredential: MD

Location Address8100 OSWEGO ROAD, SUITE 220Liverpool, NY 13090

Mailing Address8100 Oswego Road, Suite 220Liverpool, NY 13090 · (315) 652-6551 · Fax (315) 652-9698

Phone(315) 652-6551

Fax(315) 652-9698

Sole ProprietorNo

Enumeration DateDecember 1, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1871661462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in NY · 202352

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

8100 OSWEGO ROAD, Liverpool, NY 13090

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Other Identifiers 3

Other015326Mvp Healthcare Insurer

Medicare UPING28340

Medicaid01529900NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Robert Nolan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

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

HEATHER ANNE HUDSON-DELAP RPA

Physician Assistant