DR. JACOB H NELSON (NPI# 1104267780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104267780 |
| Entity Type | Individual |
| Full Name | DR. JACOB H NELSON |
| Credential | D.P.M. |
| Practice Address |
1520 S Dobson Rd Suite 307 Mesa AZ 85202-4725 |
| Mailing Address |
13555 W Mcdowell Rd Ste 301 Goodyear AZ 85395-2629 |
| Practice Telephone | 4808448218 |
| Practice Fax Number | 4808006647 |
| Mailing Telephone | 6238480123 |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2018-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0832 | AZ | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275037632 | Jacob Dillon Nelson | Student in an Organized Health Care Education/Training Program | 101 Manning Drive W2107 Old Clinic, Chapel Hill, NC 27599-4607 | 2018-03-21 |
| 1396186151 | Jacob C Nelson | Pharmacist | 441 Arrowhead Ln, Moose Lake, MN 55767-7702 | 2013-07-09 |
| 1366756009 | Jacob Isreal Nelson | Behavioral Analyst | 6627 Belle Shadow Ln, Tampa, FL 33634-4263 | 2010-08-05 |
| 1568920882 | Jacob Henry Nelson | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr, Lebanon, OR 97355-3983 | 2019-03-05 |
| 1154800753 | Jacob Nelson | Community Health Worker | 4989 N 3rd St, Laramie, WY 82072-9548 | 2018-08-14 |
| 1598266801 | Jacob I Nelson | Obstetrics & Gynecology | 5131 Beacon Hill Rd Ste 340, Columbus, OH 43228-4442 | 2018-02-22 |
| 1154842136 | Jacob E Nelson | Physical Therapist | 6699 W Rio Grande Ave, Kennewick, WA 99336-3301 | 2017-06-29 |
| 1144675679 | Jacob Nelson | Pediatrics | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2016-05-03 |
| 1831517960 | Jacob Nelson | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2014-04-05 |
| 1487938833 | Jacob Butler Nelson | Physician Assistant | 7331 College Pkwy Ste 300, Fort Myers, FL 33907-5524 | 2011-10-04 |
| Street Address |
1520 S DOBSON RD SUITE 307 |
| City | MESA |
| State | AZ |
| Zip Code | 85202-4725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790789725 | Giridhari L Bansal | Pediatrics | 1520 S Dobson Rd, Ste 205, Mesa, AZ 85202-4726 | 2005-06-08 |
| 1689129769 | Svetlana Pedenko Md PC | Internal Medicine | 1520 S Dobson Rd, Suite 307, Mesa, AZ 85202-4725 | 2016-08-18 |
| 1801245154 | Megan Milleen Smith | Nurse Practitioner | 1520 S Dobson Rd, Ste #203, Mesa, AZ 85202-4725 | 2016-06-07 |
| 1023476819 | Alisha Zimmer | Nurse Practitioner | 1520 S Dobson Rd, Suite 209, Mesa, AZ 85202-4725 | 2016-02-08 |
| 1043645617 | Kevin M Warren | Physician Assistant | 1520 S Dobson Rd, Suite 203, Mesa, AZ 85202-4725 | 2013-09-13 |
| 1093149692 | Kevin Warren | General Acute Care Hospital | 1520 S Dobson Rd, Suite 203, Mesa, AZ 85202-4725 | 2013-08-30 |
| 1730462235 | Tamar K Gottfried Md, Plc | Clinic/Center | 1520 S Dobson Rd, Suite 316, Mesa, AZ 85202-4725 | 2011-09-21 |
| 1871875047 | Az Obstetrics & Gynecology, LLC | Clinic/Center | 1520 S Dobson Rd, Suite 316, Mesa, AZ 85202-4725 | 2011-09-14 |
| 1164721742 | Jigar Maheshkumar Rathod | Psychiatry & Neurology | 1520 S Dobson Rd, Ste 203, Mesa, AZ 85202-4725 | 2011-03-22 |
| 1811212822 | Colorado Spine Inovations | Durable Medical Equipment & Medical Supplies | 1520 S Dobson Rd, Suite 211, Mesa, AZ 85202-4725 | 2010-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144680505 | Thornridge Medical and Management Inc | Podiatrist | 6104 E Brown Rd Ste 101, Mesa, AZ 85205-4953 | 2016-02-28 |
| 1326408782 | Kraemer Medical Inc | Podiatrist | 6104 E Brown Rd Ste 102, Mesa, AZ 85205-4953 | 2016-02-28 |
| 1255715579 | Patrick Gillihan | Podiatrist | 10238 E Hampton Ave Ste 107, Mesa, AZ 85209-3317 | 2015-07-16 |
| 1912313875 | Jordan Frank Hirschi | Podiatrist | 2147 N 30th St, Mesa, AZ 85213-3179 | 2014-07-10 |
| 1568705952 | Socorro Gabriela Montes | Podiatrist | 1520 S Dobson Rd Ste 307, Mesa, AZ 85202-4700 | 2013-04-03 |
| 1922395821 | Brandon Mecham | Podiatrist | 6116 E Arbor Ave Ste 118, Mesa, AZ 85206-6104 | 2011-06-30 |
| 1467786228 | Advanced Center for Foot & Ankle | Podiatrist | 2815 S Alma School Rd Ste 119b, Mesa, AZ 85210-4031 | 2009-09-28 |
| 1083840318 | Mia Melillo Horvath | Podiatrist | 1620 S Stapley Dr Ste 132, Mesa, AZ 85204-6655 | 2009-06-01 |
| 1043445091 | Blair James Sandall | Podiatrist | 1347 N. Greenfield Rd, Suite 101, Mesa, AZ 85205-4072 | 2009-05-20 |
| 1295714525 | Cameron Rafael Mckay | Podiatrist | 220 N Stapley Dr, Mesa, AZ 85203-8057 | 2006-01-13 |
| Find all providers in MESA | ||||
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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.