Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicholas D Gottshall, PA-C

Individual provider Physician Assistant · NPI 1043833221

Nicholas D Gottshall, PA-C is a Physician Assistant in Cambridge, Massachusetts. Qualified in 2020, 6 years ago. Practices with Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc, a 1,676-clinician group. Licensed in Massachusetts.

Years since qualifying
6
Licensed in
MA
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

330 Mount Auburn St # Surgery
Cambridge, MA 02138-5597
Phone: (617) 492-3500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA7521 (MA)
Physician Assistant Taxonomy 363A00000X · Licence PA7521 (MA)

Record details

NPI number1043833221
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 22, 2020
Last updated in NPPESFebruary 21, 2025
Certification dateFebruary 21, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc — 1676 clinicians
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

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