| Nickolay Peter Markov, MD | |
|
4881 Sugar Maple Dr, Wpafb, OH 45433-5529 | |
| (937) 255-9922 | |
| Not Available |
| Full Name | Nickolay Peter Markov |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 18 Years |
| Location | 4881 Sugar Maple Dr, Wpafb, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598927824 | NPI | - | NPPES |
| 0376798 | Medicaid | OH | |
| 390200000X | Other | TX | STUDENT IN AN ORGANIZED HEALTH CARE EDUCATION/TRAINING PROGRAM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 35.134010 (Ohio) | Primary |
| 208600000X | Surgery | 25622 (Nebraska) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Soin Medical Center | Beaver creek, OH | Hospital |
| Kettering Health Main Campus | Kettering, OH | Hospital |
| Miami Valley Hospital | Dayton, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kettering Independent Medical Group Inc | 3173710936 | 699 |
| Entity Name | Kettering Independent Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
| Entity Name | Mercy Health Physicians Springfield Specialty Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790308104 PECOS PAC ID: 4284059981 Enrollment ID: O20200728003692 |
| Entity Name | Peko LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871357533 PECOS PAC ID: 7517490170 Enrollment ID: O20241104003624 |
| Mailing Address | Practice Location Address |
|---|---|
| Nickolay Peter Markov, MD 88mdg/sghj, 4881 Sugar Maple Dr., Wright Patterson Afb, OH 45433 Ph: (937) 257-6529 | Nickolay Peter Markov, MD 4881 Sugar Maple Dr, Wpafb, OH 45433-5529 Ph: (937) 255-9922 |