Mateo F Nicholson, DO
Mateo F Nicholson, DO is a Physical Medicine and Rehabilitation in Fort Wayne, Indiana. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2019, 7 years ago. Practices with Parkview Health System Inc, a 1,336-clinician group and accepts Medicare assignment. Licensed in Illinois, Indiana, Minnesota and Wisconsin.
- Years since qualifying
- 7
- Trained at
- Lake Erie College of Osteopathic Medicine, Erie
- Licensed in
- IL, IN, MN, WI
- In the registry since
- 2019
- Specialties on file
- 5
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
2231 Carew StFort Wayne, IN 46805-4713
Phone: (260) 425-6780
Fax: (260) 373-9225
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X · Licence 02007853A (IN) |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X · Licence 125074919 (IL) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence 33866 (MN) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X (WI) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence 75957-21 (WI) |
Record details
| NPI number | 1659833366 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | April 2, 2019 |
| Last updated in NPPES | October 2, 2024 |
| Certification date | October 2, 2024 |
| Mailing address | 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 |
Medicare enrollment
| Medicare specialty | PHYSICAL MEDICINE AND REHABILITATION |
|---|---|
| Medical school | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE |
| Graduated | 2019 (7 years in practice) |
| Group practice | Parkview Health System Inc — 1336 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Fort Wayne
-
Dr. Ratan Nallamothu, MD
700 Broadway St Joseph Hospital, Fort Wayne, IN 46802 · (260) 425-3000
-
Dr. Padmanabhan Narasimhan, MD
11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 · (260) 266-2020
-
Dr. Imran Nasir, MD
11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 · (260) 672-6620
-
Dr. Mo'Ath Nassar, MD
2231 Carew St, Fort Wayne, IN 46805-4713 · (260) 266-7856
-
Dr. Rodney Nolberto, MD
11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 · (260) 266-2020
-
Dr. Mohamed Noureldin Birima Noureldin, MD
11104 Parkview Circle Dr Ste 310, Fort Wayne, IN 46845-1733 · (260) 266-5230
-
Soe Nyunt, MD
2121 Lake Ave, Fort Wayne, IN 46805-5100 · (260) 426-5431
-
Christopher Ibe Ogbogu, MD
2121 Lake Ave, Fort Wayne, IN 46805-5100 · (260) 426-5431