MARY NELSON MD PC (NPI# 1104163179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104163179 |
| Entity Type | Organization |
| Organization Name | MARY NELSON MD PC |
| Practice Address |
411 10th St Se Suite 1400 Cedar Rapids IA 52403-2442 |
| Practice Telephone | 3193658616 |
| Practice Fax Number | 3192977377 |
| Mailing Telephone | 3193658616 |
| Mailing Fax Number | 3192977377 |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2013-01-11 |
| Authorized Official Name | DR. MARY NELSON (PRESIDENT) |
| Authorized Official Telephone | 3193658616 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20657 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
411 10TH ST SE SUITE 1400 |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52403-2442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730186958 | Sharon A Collins | Pediatrics | 411 10th St Se, Suite 150, Cedar Rapids, IA 52403-2442 | 2005-07-01 |
| 1396379095 | Jennifer Ann Vander Zee | Nurse Practitioner | 411 10th St Se, Cedar Rapids, IA 52403-2442 | 2020-03-03 |
| 1033583364 | State University of Iowa | Dermatology | 411 10th St Se, Ste 1200, Cedar Rapids, IA 52403-2442 | 2015-11-24 |
| 1497079156 | Winslow Clinic Pllc | Clinical Neuropsychologist | 411 10th St Se, Suite 150, Cedar Rapids, IA 52403-2442 | 2010-03-23 |
| 1548434004 | Susan Marie Halverson | Pediatrics | 411 10th St Se, Suite 150, Cedar Rapids, IA 52403-2442 | 2008-04-16 |
| 1508039629 | A. John Vander Zee Md, PC | Plastic Surgery | 411 10th St Se, Cedar Rapids, IA 52403-2442 | 2008-04-09 |
| 1700067568 | Mercy Physician Associates, Inc | Family Medicine | 411 10th St Se, Suite 2350, Cedar Rapids, IA 52403-2442 | 2007-11-21 |
| 1154527638 | Mercy Physician Associates, Inc | Family Medicine | 411 10th St Se, Suite 2300, Cedar Rapids, IA 52403-2442 | 2007-06-22 |
| 1841402542 | Debra J Divelbiss Kucera | Nurse Practitioner | 411 10th St Se, Cedar Rapids, IA 52403-2442 | 2007-05-04 |
| 1023144185 | Brady A Novak | Dentist | 411 10th St Se, Ste 2400, Cedar Rapids, IA 52403-2442 | 2007-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093242083 | Eric Burton | Social Worker | 1535 1st Ave Se., Cedar Rapids Va Cboc, Cedar Rapids, IA 52403 | 2017-05-22 |
| 1619404613 | Dylan Roberts Streb | Family Medicine | Eastern Iowa Health Center, 1201 Third Avenue Se, Cedar Rapids, IA 52403 | 2017-05-22 |
| 1760870851 | Forefront Dermatology, S.c. | Dermatology | 202 10th Street, Sw, Suite 290, Cedar Rapids, IA 52403 | 2014-12-26 |
| 1801292883 | Laura Pelechek | Marriage & Family Therapist | 1744 2nd Ave Se, Cedar Rapids, IA 52403 | 2014-11-18 |
| 1306090147 | John Daniel Schuchmann | Anesthesiology | 3629 Random Road Se, Cedar Rapids, IA 52403 | 2008-11-06 |
| 1851564157 | Cedar Rapids Medical Education Foundation | Family Medicine | 1260 Second Avenue S.e., Cedar Rapids, IA 52403 | 2008-04-08 |
| 1093866071 | Mcld Corporation | Durable Medical Equipment & Medical Supplies | 207 2nd Avenue Se Ste A, Cedar Rapids, IA 52403 | 2007-01-16 |
| 1154483980 | James P Schuller | Dentist | 1000 42nd St Se, 1000 Professional Centre Suite B, Cedar Rapids, IA 52403 | 2006-12-15 |
| 1477640183 | C R Iv Service Inc | Home Health | 402 10th St, Ste 700 Carepro Home Health, Cedar Rapids, IA 52403 | 2006-10-06 |
| 1104919638 | C R Iv Service Inc | Durable Medical Equipment & Medical Supplies | 402 10th Street Se, Suite 700, Cedar Rapids, IA 52403 | 2006-10-02 |
| Find all providers in zip 52403 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619404613 | Dylan Roberts Streb | Family Medicine | Eastern Iowa Health Center, 1201 Third Avenue Se, Cedar Rapids, IA 52403 | 2017-05-22 |
| 1619422748 | Mercy Physician Associates, Inc | Family Medicine | 777 76th Ave Dr Sw, Cedar Rapids, IA 52404 | 2016-08-18 |
| 1295967677 | Katherine Joanne Alatorre | Family Medicine | 4325 Williams Blvd Sw, Cedar Rapids, IA 52404-3436 | 2009-08-18 |
| 1649438383 | Qadnana Atif Anwar | Family Medicine | 4325 Williamsa Blvd, Cedar Rapids, IA 52404 | 2008-05-29 |
| 1851564157 | Cedar Rapids Medical Education Foundation | Family Medicine | 1260 Second Avenue S.e., Cedar Rapids, IA 52403 | 2008-04-08 |
| 1326260399 | Robert Lynn Swaney | Family Medicine | 947 14th St Se, Cedar Rapids, IA 52401-2610 | 2007-05-02 |
| 1467504506 | Jami A Maxson | Family Medicine | 2815 Edgewood Road S.w., Cedar Rapids, IA 52404 | 2007-01-17 |
| 1649359035 | Nancy M Angenend | Family Medicine | 500 8th Ave Se, Cedar Rapids, IA 52401-2134 | 2006-11-04 |
| 1104912765 | Marian L Barnes | Family Medicine | 3835 Cottage Grove Avenue Se, Cedar Rapids, IA 52403-2124 | 2006-10-04 |
| 1699880138 | Affiliates of Family Practice of Cedar Rapids | Family Medicine | 1030 5th Avenue Se, Suite 1700, Cedar Rapids, IA 52403 | 2006-08-21 |
| Find all providers in CEDAR RAPIDS | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.