JOE R NIELSEN MD PC (NPI# 1164723482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164723482 |
| Entity Type | Organization |
| Organization Name | JOE R NIELSEN MD PC |
| Practice Address |
415 Medical Dr D-200 Bountiful UT 84010-4946 |
| Practice Telephone | 8012926277 |
| Practice Fax Number | 8012921108 |
| Mailing Telephone | 8012926277 |
| Mailing Fax Number | 8012921108 |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2010-11-03 |
| Authorized Official Name | DR. JOE R NIELSEN (PRESIDENT) |
| Authorized Official Telephone | 8012926277 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 178171-1205 | UT | Ambulatory Health Care Facilities |
| Street Address |
415 MEDICAL DR D-200 |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010-4946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306848338 | Christine A Cheng | Specialist | 415 Medical Dr, Suite D102, Bountiful, UT 84010-4946 | 2005-08-10 |
| 1639685316 | Melissa Gardner | Behavior Technician | 415 Medical Dr, Bountiful, UT 84010-4946 | 2017-12-18 |
| 1982139903 | Karen Louise Nickl | Psychologist | 415 Medical Dr, Suite B101, Bountiful, UT 84010-4946 | 2017-04-27 |
| 1427592740 | Heather Dillon | Assistant Behavior Analyst | 415 Medical Dr, Suite D 101, Bountiful, UT 84010-4946 | 2016-12-05 |
| 1295286383 | Luekenga Way, LLC | Audiologist | 415 Medical Dr, 202a, Bountiful, UT 84010-4946 | 2016-10-24 |
| 1942657960 | Paul C Larsen Dmd PC | Dentist | 415 Medical Dr, Ste D201, Bountiful, UT 84010-4946 | 2016-05-19 |
| 1467831586 | Rita Zimmerman | Counselor | 415 Medical Dr, Suite D 101, Bountiful, UT 84010-4946 | 2015-05-21 |
| 1942641931 | Neurobehavioral Center for Growth LLC | Psychologist | 415 Medical Dr, Suite A 201, Bountiful, UT 84010-4946 | 2013-07-08 |
| 1659661288 | Mark Spencer Mcgowan | Dentist | 415 Medical Dr, A200, Bountiful, UT 84010-4946 | 2011-04-16 |
| 1104061191 | William T Sadler Md PC | Internal Medicine | 415 Medical Dr, Suite C202, Bountiful, UT 84010-4946 | 2008-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| Find all providers in zip 84010 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801174172 | Gavin Van Staden Md PC | Clinic/Center | 3263 S Highway 89, Ste 300, Bountiful, UT 84010-8555 | 2011-08-03 |
| 1194013870 | Woodmead Medical Clinic Pllc | Clinic/Center | 3263 S Highway 89, Suite 300, Bountiful, UT 84010-8555 | 2011-07-15 |
| 1447566773 | Knight Chiropractic Clinic, P.C. | Clinic/Center | 513 W 2600 S, Bountiful, UT 84010-7717 | 2010-08-24 |
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| 1275021784 | Axis Chiropractic and Massage Clinic, LLC | Clinic/Center | 1681 W 3860 S Ste 106, West Valley City, UT 84119-6274 | 2018-04-30 |
| 1760979397 | Moenkopi Counseling PC | Clinic/Center | 230 N 1680 E Ste H2, Saint George, UT 84790-2585 | 2018-04-19 |
| 1669978896 | Southern Utah Vision Care Pllc | Clinic/Center | 1251 Northfield Rd Ste 215, Cedar City, UT 84721-8623 | 2018-04-05 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
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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.