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

Nicholas Von der Ahe, MD

Individual provider Family Medicine Physician · NPI 1588191902

Nicholas Von der Ahe, MD is a Family Practice in Park City, Utah. Qualified in 2015, 11 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia and Utah.

Years since qualifying
11
Licensed in
GA, UT
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

750 Round Valley Dr Ste 201
Park City, UT 84060-7549
Phone: (435) 649-7680
Fax: (435) 776-9353
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1650 Chattahoochee Dr, Rockmart, GA 30153-2023 — (770) 684-7846
  • 304 Shorter Ave Nw Ste 201, Rome, GA 30165-4256 — (706) 509-3300

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 13447082-1205 (UT)
Family Medicine Physician Taxonomy 207Q00000X · Licence 081963 (GA)

Record details

NPI number1588191902
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 16, 2017
Last updated in NPPESDecember 29, 2023
Certification dateDecember 29, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Park City