Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Paul Nicholson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962934109

Dr. Paul Nicholson, MD is an Emergency Medicine in Lexington, Kentucky. Graduated from University of Cincinnati College of Medicine in 2017, 9 years ago. Practices with Licking Memorial Professional Corporation, a 235-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Kentucky and Ohio.

Years since qualifying
9
Trained at
University of Cincinnati College of Medicine
Licensed in
KY, OH
In the registry since
2017
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1221 S Broadway
Lexington, KY 40504-2701
Phone: (859) 258-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 410 W 10th Ave, Columbus, OH 43210-1240 — (614) 293-3989
  • 6001 E Broad St, Columbus, OH 43213-1502 — (614) 234-6000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 56835 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Emergency Medicine Physician Taxonomy 207P00000X · Licence 35.139270 (OH)

Record details

NPI number1962934109
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2017
Last updated in NPPESJune 8, 2023
Certification dateJune 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Licking Memorial Professional Corporation — 235 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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