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

Nicole Renee Sydow, MD

Individual provider Surgery Physician · NPI 1255598900

Nicole Renee Sydow, MD is a Thoracic Surgery in Flagstaff, Arizona. Graduated from Southern Illinois University School of Medicine in 2007, 19 years ago. Practices with Phoenix Cardiac Surgery PC, an 11-clinician group and accepts Medicare assignment. Licensed in Arizona and Ohio.

Years since qualifying
19
Trained at
Southern Illinois University School of Medicine
Licensed in
AZ, OH
In the registry since
2008
Specialties on file
2
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

1215 N Beaver St Ste 203
Flagstaff, AZ 86001-3126
Phone: (928) 773-2150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence 46018 (AZ)
Surgery Physician Taxonomy 208600000X · Licence 57.012994 (OH)

Record details

NPI number1255598900
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 20, 2008
Last updated in NPPESFebruary 19, 2016

Medicare enrollment

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

Medicare specialtyTHORACIC SURGERY
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Phoenix Cardiac Surgery Pc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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