NPI
Jeffrey Scott Nicklas
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- MD
- Type
- Individual
- Enumeration date
- 2007-08-01
- Last updated
- 2020-11-11
Specialties
Licenses
- License PA
- MT190045
- License PA
- MD443825
- License OH
- 35.066875
Location
- Practice location
- 1044 Belmont Ave
- City
- Youngstown OH
- Postal code
- 44504-1006
- Phone
- (330) 480-3658
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Youngstown, OH. 6,110 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
Run it in Rivvi
Is this you?
Check your listing for a stale address, wrong specialty or deactivation. Free.
Check my listingFree to start. Opens Rivvi, the AI workspace for healthcare teams.