Dr. Nicholas Timothy Holzapfel – Oncologist / Hematologist | Thunder Bay, ON

Dr. Nicholas Timothy Holzapfel, a Medical Oncologist, specializes in using chemotherapy, immunotherapy, and targeted agents to treat a wide range of cancers. Practicing at a specialized cancer centre within a hospital department in Thunder Bay, ON, he is part of a dedicated healthcare team committed to providing comprehensive cancer care. The practice centers on the use of cutting-edge systemic therapies for adult solid tumors, ensuring that patients receive the latest evidence-based treatments in a compassionate and supportive environment. Dr. Holzapfel's approach emphasizes personalized care tailored to each patient's unique medical condition and needs.

Graduating with a Medical Degree from McMaster University in 2018 (Canada), Dr. Holzapfel has been practicing as a Medical Oncologist since 2023. He is certified as a Royal College of Physicians and Surgeons of Canada (RCPSC) Specialist in Medical Oncology, specializing in Cancer Treatment with Systemic Therapies. His training and certification reflect his commitment to maintaining high standards of clinical excellence and up-to-date knowledge in oncology.

Dr. Holzapfel's clinical philosophy is rooted in collaborative, multidisciplinary care, emphasizing evidence-based treatment plans and holistic support for his patients. He is dedicated to advancing cancer research and integrating the latest innovations into his practice to improve outcomes. Fluent in English, he is committed to clear communication and compassionate patient engagement, ensuring that individuals in Thunder Bay receive attentive and expert cancer care.

Dr. Nicholas Holzapfel has expertise in managing a wide range of conditions, including:

Common Cancers (Solid Tumors) Treated

• Sarcomas (Bone & Soft Tissue - Systemic Therapy): Rare cancers arising from connective tissues, where medical oncologists administer chemotherapy or targeted therapies for advanced or metastatic disease.
• Brain & Central Nervous System (CNS) Tumors (Primary & Metastatic - Medical Oncology aspects): Malignant tumors of the brain and spinal cord, where medical oncologists may manage chemotherapy or targeted therapies as part of a multidisciplinary team.
• Melanoma & Advanced Skin Cancers: Aggressive forms of skin cancer, where oncologists manage systemic treatments like immunotherapy or targeted therapy for advanced or metastatic disease.

This list provides examples of common conditions treated and is not exhaustive. Cancer and blood disorders are complex, and treatment is highly individualized. For personalized advice, please discuss your specific situation with Dr. Nicholas Holzapfel or your referring physician.

• Comprehensive Oncologic & Hematologic Consultation: In-depth evaluation of medical history, review of diagnostic imaging and pathology, cancer staging (if applicable), and development of personalized treatment plans for various cancers and blood disorders.
• Management of Treatment-Related Side Effects & Toxicities: Proactive and reactive strategies to manage side effects of cancer therapies, including nausea, fatigue, myelosuppression, and neuropathy.
• Systemic Anti-Cancer Therapies Administration & Management: Expert administration and ongoing management of treatments including intravenous and oral chemotherapy, immunotherapy (e.g., checkpoint inhibitors, CAR T-cell therapy coordination), targeted molecular therapy, and hormone therapy.
• Genetic Counseling & Testing Referrals for Hereditary Cancer Syndromes: Assessment of family history and risk factors, and coordination of referrals for genetic counseling and testing for inherited predispositions to cancer (e.g., BRCA).
• Integration with Palliative & Supportive Oncology Services: Collaborative care focusing on optimal symptom management, pain control, and psychosocial support throughout the cancer journey.
• Performance Status Assessment & Treatment Eligibility Evaluation: Evaluating a patient's overall fitness and ability to tolerate specific anti-cancer treatments.
• Adjuvant, Neoadjuvant, & Metastatic/Palliative Systemic Therapy: Developing treatment plans given before (neoadjuvant) or after (adjuvant) primary local treatment (like surgery or radiation) to improve outcomes, or for managing advanced/metastatic cancer to control disease and improve quality of life.

Note: This list provides a general overview of services offered in Medical Oncology (Cancer Treatment with Systemic Therapies). Treatment plans are highly individualized. Dr. Holzapfel provides a wide array of diagnostic, therapeutic, and supportive care options tailored to each patient's specific condition and needs. Please discuss with Dr. Holzapfel or your healthcare team for details relevant to your care.

All medical services and treatments are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO) and relevant cancer care guidelines. A referral is required.

Dr. Holzapfel practices at a specialized cancer centre located within a hospital department in the Port Arthur Central (Downtown North Core, Waterfront area) neighborhood of Thunder Bay, ON. The facility is conveniently situated near Thunder Bay City Hall and Downtown Fort William (South Core), making it accessible for patients from various parts of the city. Public transit options are available through Thunder Bay Transit, facilitating easy arrival for appointments. The facility is wheelchair accessible to accommodate patients with mobility needs. Paid parking options are close by, providing convenient access for those arriving by car. The practice’s location offers a welcoming environment with easy access to advanced diagnostic and treatment facilities necessary for comprehensive cancer care.

Are consultations and treatments with Dr. Holzapfel, an Medical Oncologist, covered by Ontario Health Insurance Plan (OHIP) in ON?

Medically necessary consultations, diagnostic tests (like biopsies, imaging reviews), chemotherapy, immunotherapy, targeted therapies, radiation therapy planning and delivery, and management of blood disorders by a licensed Medical Oncologist such as Dr. Holzapfel are generally covered by Ontario Health Insurance Plan (OHIP) in ON when a referral from a family doctor or another specialist is in place. Specific drug coverage for newer therapies can vary by provincial formularies and may require special authorization. It's always recommended to discuss coverage specifics with Ontario Health Insurance Plan (OHIP), Dr. Holzapfel's office, the hospital's patient financial services, or the cancer care navigation services at the treatment facility.

Do I need a referral to see Dr. Holzapfel, an Medical Oncologist?

Yes, a referral from your family physician or another specialist is almost always required to see an Medical Oncologist like Dr. Holzapfel for assessment or treatment of cancer or significant hematological conditions. This ensures that your primary care provider is involved in your care continuum and that you are directed to the most appropriate specialist for your specific situation. Cancer care programs often have centralized intake systems that manage referrals to ensure timely access.

Does Dr. Holzapfel participate in or offer access to clinical trials?

Many oncologists and hematologists are involved in clinical research to advance cancer treatment and care for blood disorders, as participation in clinical trials can offer access to new and investigational treatments. Dr. Holzapfel is actively involved in clinical trials and may discuss relevant trial options with you if you are eligible and it is appropriate for your condition. You can ask Dr. Holzapfel if there are any suitable clinical trials available for your condition, either at Dr. Holzapfel's institution or through collaborative research networks. He can provide information or refer you for consideration.

What does an Oncologist and/or Hematologist like Dr. Holzapfel specialize in?

An Oncologist specializes in the diagnosis and treatment of cancer. This can include Medical Oncologists who use systemic treatments like chemotherapy and immunotherapy, Radiation Oncologists who use radiation therapy, and Surgical Oncologists who perform surgery to remove tumors. A Hematologist specializes in diagnosing and treating disorders of the blood, bone marrow, spleen, and lymph glands; this includes benign conditions like anemia and bleeding disorders, as well as malignant conditions (blood cancers) like leukemia, lymphoma, and myeloma. Dr. Holzapfel has expertise in Medical Oncology, focusing on systemic treatments for solid tumors.

How will treatment decisions be made for my condition by Dr. Holzapfel?

Treatment decisions in oncology and hematology are highly personalized and made collaboratively. Dr. Holzapfel will consider many factors, including the type and stage of your cancer or blood disorder, your overall health, genetic markers of the disease (if applicable), current treatment guidelines, and importantly, your personal preferences and values. Often, cases are discussed in multidisciplinary team meetings (tumor boards) with other specialists to ensure a comprehensive approach. You will be an active participant in this decision-making process.

How does cancer or blood disorder treatment differ for children compared to adults?

[IF PROVIDER IS PEDIATRIC SPECIALIST:] As a Pediatric Hematologist/Oncologist, Dr. Holzapfel specializes in these differences. Children's bodies react differently to treatments, and the types of cancers and blood disorders are often distinct from adult conditions. Treatment protocols are specifically designed for pediatric patients, considering their growth and development. Care is family-centered, involving parents and caregivers closely in decision-making and support. [ELSE:] Treatment for children with cancer or blood disorders is highly specialized and managed by Pediatric Hematologists/Oncologists. They use protocols tailored to children, considering long-term effects on growth and development.

980 Oliver Road
Thunder Bay, ON P7B 6V4

Phone: (807) 684-6000

The facility is wheelchair accessible.

Dr. Holzapfel is a licensed Medical Oncologist regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Regulated Health Professions Act, 1991 and Medicine Act, 1991 in ON. A referral from a family physician or other specialist is required for most consultations and treatments under the provincial health plan.

Verify registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Holzapfel-Nicholas-Timothy/0324730-115181