Provider Demographics
NPI:1457585747
Name:NICHOLAS V VARRATI III
Entity type:Organization
Organization Name:NICHOLAS V VARRATI III
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:VINCENT
Authorized Official - Last Name:VARRATI
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:330-339-9211
Mailing Address - Street 1:306 WEST HIGH AVENUE
Mailing Address - Street 2:
Mailing Address - City:NEW PHILADELPHIA
Mailing Address - State:OH
Mailing Address - Zip Code:44663-2134
Mailing Address - Country:US
Mailing Address - Phone:330-339-9211
Mailing Address - Fax:330-339-8858
Practice Address - Street 1:306 WEST HIGH AVENUE
Practice Address - Street 2:
Practice Address - City:NEW PHILADELPHIA
Practice Address - State:OH
Practice Address - Zip Code:44663-2134
Practice Address - Country:US
Practice Address - Phone:330-339-9211
Practice Address - Fax:330-339-8858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-14
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
9385661Medicare PIN