Look up the most recent NPI and PECOS records

Joshua Turner Nicholson

Physical Medicine & Rehabilitation

Allopathic & Osteopathic Physicians

245 Cherry St SE Ste 300, Grand Rapids, MI 49503

PECOS Enrollment

This provider is enrolled in PECOS as JOSHUA NICHOLSON.

Based on the most recent information from CMS, provider Joshua Turner Nicholson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 10:10 AM.

Profile Details

Provider ID
1487916599
Provider Type
Individual
Full Name
Nicholson, Joshua Turner
Title
Dr.
Credential
D.O.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
6/14/2012
Last Updated
9/3/2019

Contact Information

Practice Location

245 Cherry St SE Ste 300, Grand Rapids, MI 49503

(616) 685-5050

(616) 685-8962

Mailing Location

245 Cherry St SE Ste 300, Grand Rapids, MI 49503-4607

(616) 685-5050

(616) 685-8962

Provider Taxonomies

Code	Description	License
Code 208100000X Primary	Description Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians	License 5101020091 Michigan

Joshua Turner Nicholson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Hordt, Thomas

Vandenberg, William Christian

Halliday, Salina

Morelli, Christopher Michael

Vandenberg, Jonathan Christian

Kaplan, Naomi

Vollmer, Carolyn

Wang, Ralph

Jost, Kristen

Luyk, Clayton Joseph