DR. MATTHEW BURNS NIELSEN (NPI# 1144697848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144697848 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW BURNS NIELSEN |
| Credential | PHARMD |
| Practice Address |
1201a S Division St Traverse City MI 49684-4426 |
| Mailing Address |
5423 Williamsburg Rd Williamsburg MI 49690-9756 |
| Practice Telephone | 2319290526 |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302040539 | MI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356622401 | Matthew John Nielsen | Dentist | 224 W D.l. Ingram, Bld. 1408, Cannon Afb, NM 88103 | 2011-09-02 |
| 1205987500 | Matthew Edward Nielsen | Urology | Unc Chapel Hill Dept of Surgery, Urology: Campus Box 7235, Chapel Hill, NC 27599-0001 | 2007-01-15 |
| 1053868471 | Matthew Phillip Nielsen | Pharmacist | 201 3rd Ave, Seward, AK 99664-2088 | 2016-09-01 |
| 1598147845 | Matthew Nielsen | Family Medicine | 1401 E H St, Mc Cook, NE 69001 | 2015-06-23 |
| 1700129707 | Matthew Alan Nielsen | Urology | 710 Lomax St, Jacksonville, FL 32204 | 2013-03-28 |
| 1235442575 | Matthew John Nielsen | Surgery | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2010-07-15 |
| 1396075743 | Matthew Dean Nielsen | Podiatrist | 550 Rush Creek Pkwy, Suite A, Liberty, MO 64068-9604 | 2010-01-07 |
| 1215184528 | Matthew Allan Nielsen | Dentist | 324 Se 9th Ave, Suite B, Hillsboro, OR 97123-4247 | 2008-08-19 |
| 1346317740 | Matthew Nielsen | Psychologist | 4700 Las Vegas Blvd N, Nellis Afb, Nellis Afb, NV 89191-6600 | 2006-11-29 |
| Street Address |
1201A S DIVISION ST |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-4426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265086177 | Adam G Schoech | Pharmacist | 1201a S Division St, Traverse City, MI 49684-4426 | 2019-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972924967 | Gregory James Baker | Pharmacist | 1020 Sixth Street, Traverse City, MI 49684 | 2013-12-18 |
| 1366796302 | Keith Patterson Jr. | Pharmacist | 125 E South Airport Rd, Pharmacy, Traverse City, MI 49686 | 2012-10-30 |
| 1386910446 | Mark R Suitor | Pharmacist | 4144 Us Highway 31 S, Traverse City, MI 49685-9228 | 2012-03-22 |
| 1679858393 | Robert Bradshaw | Pharmacist | 2350 Us 31 N, Traverse City, MI 49686-3756 | 2011-10-13 |
| 1619251394 | Camilla Williams | Pharmacist | 4122 Us Highway 31 S, Traverse City, MI 49685-9228 | 2011-09-29 |
| 1275815797 | David L Pontious | Pharmacist | 1029 M 37 S, Traverse City, MI 49685-8508 | 2011-09-10 |
| 1316227895 | Matthew Born | Pharmacist | 3900 N Us 31 S, Traverse City, MI 49684-4447 | 2011-08-28 |
| 1285925180 | Robert Brzezinski | Pharmacist | 1201a S Division, Traverse City, MI 49684 | 2011-04-26 |
| 1689965634 | Marie Kristin Sweet | Pharmacist | 1201 A S Division, Traverse City, MI 49684 | 2011-04-26 |
| 1073803623 | Paul Dugan | Pharmacist | 939 Us Highway 31 S, Traverse City, MI 49685-8019 | 2011-04-17 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
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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.