MICHAEL R NELSEN (NPI# 1124028568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124028568 |
| Entity Type | Individual |
| Full Name | MICHAEL R NELSEN |
| Credential | M.D. |
| Practice Address |
533 S 336th St Suite C Federal Way WA 98003-6329 |
| Mailing Address |
Po Box 26730 Federal Way WA 98093-3730 |
| Practice Telephone | 2536611700 |
| Practice Fax Number | 2536614565 |
| Mailing Telephone | 2536611700 |
| Mailing Fax Number | 2536614565 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2012-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD00036302 | WA | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
MD00036302 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8271041 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215221114 | Michael Nelsen | Counselor | 45546 Reading Ter, Sterling, VA 20166-3052 | 2011-06-08 |
| 1790758670 | Michael C Nelsen | Dentist | 2372 Main St, Ferndale, WA 98248-9212 | 2006-02-10 |
| Street Address |
533 S 336TH ST SUITE C |
| City | FEDERAL WAY |
| State | WA |
| Zip Code | 98003-6329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366441180 | Susan M. Balich | Radiology | 533 S 336th St, Suite C, Federal Way, WA 98003-6329 | 2005-07-14 |
| 1336481902 | Jamie Marabe Young | Nurse Practitioner | 533 S 336th St, Suite C, Federal Way, WA 98003-6329 | 2013-03-21 |
| 1306130505 | Melissa Roach Denison | Nurse Practitioner | 533 S 336th St, Ste C, Federal Way, WA 98003-6329 | 2011-06-06 |
| 1396987228 | Lauren Toney Quesnell | Nuclear Medicine | 533 S 336th St, Ste. C, Federal Way, WA 98003-6329 | 2009-03-24 |
| 1164680344 | Jason K Mann | Radiology | 533 S 336th St, Ste C, Federal Way, WA 98003-6329 | 2008-05-24 |
| 1538282165 | Callie Anne Reger | Registered Nurse | 533 S 336th St, Ste C, Federal Way, WA 98003-6329 | 2007-04-09 |
| 1609975416 | Mark J Roggeveen | Radiology | 533 S 336th St, Suite C, Federal Way, WA 98003-6329 | 2006-09-21 |
| 1710900352 | Mark Stephen Justus | Radiology | 533 S 336th St, Suite C, Federal Way, WA 98003-6329 | 2006-07-25 |
| 1720035660 | Janet Joy Silbergeld | Radiology | 533 S 336th St, Suite C, Federal Way, WA 98003-6329 | 2006-05-27 |
| 1114975075 | Pyong C Kim | Radiology | 533 S 336th St, Ste C, Federal Way, WA 98003-6329 | 2006-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634969 | Jossie Jeniffer Wong-vicuna | Interpreter | 3001 S 288th Street, 201, Ferderal Way, WA 98003 | 2020-09-17 |
| 1336642420 | Otto Family | Massage Therapist | 720 S 348th St Ste A-1b, Federal Way, WA 98003 | 2018-03-14 |
| 1962912709 | Lindsay Plumley | Occupational Therapist | 33330 8th Avenue S, Federal Way, WA 98003 | 2017-10-06 |
| 1861922387 | Sea Mar Community Health Centers | Pharmacy | 31405 18th Ave South, Federal Way, WA 98003 | 2017-06-18 |
| 1023547072 | Iora Health Washington Physicians, P.C. | Internal Medicine | 1414 S. 324th Street, Federal Way, WA 98003 | 2017-06-05 |
| 1811346869 | Iora Senior Health Inc | Internal Medicine | 1414 S 324th St, Federal Way, WA 98003 | 2016-06-10 |
| 1972958940 | Kathy Marie Haviland | Registered Nurse | 1010 S. 336th St, Supplemental Health Care, Federal Way, WA 98003 | 2016-04-27 |
| 1972969343 | Jacklyn Marie James | Specialist | 530 South 336th Street, Ste C, Massage for Health and Day Spa, Inc., Federal Way, WA 98003 | 2016-01-14 |
| 1659767036 | Jillian Liner | Pediatrics | 34503 9th Ave S Ste 220, Federal Way, WA 98003 | 2015-04-12 |
| 1235537739 | Simranjit Singh Longia | Student in an Organized Health Care Education/Training Program | 34618 11th Ave. S., Suite 100, Federal Way, WA 98003 | 2014-12-15 |
| Find all providers in zip 98003 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689998908 | Stillman Radiology Ps | Radiology | 439 Sw 345th Pl, Federal Way, WA 98023-8356 | 2010-03-15 |
| 1548496888 | Praveen Sathishchandra Rao | Radiology | 533 S 336th St Ste C, Federal Way, WA 98003 | 2009-06-01 |
| 1215131404 | Stephanie Camille Aymond | Radiology | 33801 1st Way S Ste 101, Federal Way, WA 98003-6219 | 2007-06-12 |
| 1154522092 | Samuel Chu Chi Chao | Radiology | 533 S. 336th Street, Federal Way, WA 98003 | 2007-05-29 |
| 1881678639 | Kerry James Schumacher | Radiology | 33801 First Way South, Suite 101, Federal Way, WA 98003 | 2005-12-05 |
| 1093705337 | James D Pister | Radiology | 1911 Sw Campus Dr., #107, Federal Way, WA 98023 | 2005-10-27 |
| 1083606511 | Robert O Nathan | Radiology | 181 S 333rd St, Suite 210, Federal Way, WA 98003-7363 | 2005-08-19 |
| 1164680344 | Jason K Mann | Radiology | 533 S 336th St, Ste C, Federal Way, WA 98003-6329 | 2008-05-24 |
| 1669676615 | Harold David Scott | Radiology | 33801 1st Way S Ste 101, Federal Way, WA 98003-6219 | 2007-06-13 |
| 1609975416 | Mark J Roggeveen | Radiology | 533 S 336th St, Suite C, Federal Way, WA 98003-6329 | 2006-09-21 |
| Find all providers in FEDERAL WAY | ||||
| City | FEDERAL WAY |
| Zip Code | 98003 |
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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.