RYAN JAMES NELSON (NPI# 1194955831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194955831 |
| Entity Type | Individual |
| Full Name | RYAN JAMES NELSON |
| Credential | DO |
| Practice Address |
44344 Dequindre Rd Ste 210 Sterling Heights MI 48314-1039 |
| Mailing Address |
20952 E 12 Mile Rd Ste 200 Saint Clair Shores MI 48081-3203 |
| Practice Telephone | 5863234200 |
| Practice Fax Number | 5868433940 |
| Mailing Telephone | 5867714820 |
| Mailing Fax Number | 5867716620 |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2018-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 5101018425 | MI | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | 5101018424 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 0E06273 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649634221 | Ryan William Nelson | Student in an Organized Health Care Education/Training Program | 300 Longwood Ave Boston Children's Hospital, Hunnewell Building, Pavilion 129, Housestaff Lounge, Boston, MA 02115 | 2016-04-08 |
| 1942590997 | Ryan Christopher Nelson | Chiropractor | 3621 Camelot Ln, Columbus, IN 47203-2965 | 2011-04-12 |
| 1225292444 | Ryan Lee Nelson | Orthopaedic Surgery | 9800 Broadway Ext Ste 203, Oklahoma City, OK 73114-6304 | 2008-07-16 |
| 1730702630 | Ryan Andrew Nelson | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2020-05-26 |
| 1295375772 | Ryan Nelson | Behavior Technician | 321 W Walnut St Ste 2, Johnson City, TN 37604-6774 | 2020-01-13 |
| 1881251379 | Ryan Nelson | Specialist | 8881 Terrene Ct Ste 104, Bonita Springs, FL 34135-9528 | 2019-05-21 |
| 1700347713 | Ryan Scott Nelson | Internal Medicine | 653-1 W 8th St # L18, Jacksonville, FL 32209 | 2019-03-31 |
| 1679097711 | Ryan Austin Nelson | Chiropractor | 30900 Ford Rd, Garden City, MI 48135-1892 | 2017-07-31 |
| 1134655152 | Ryan Alexander Nelson | Physician Assistant | 4010 W 65th St, Edina, MN 55435-1706 | 2017-05-11 |
| 1639623663 | Ryan P Nelson | Physical Therapist | 11130 Parkview Circle Dr, Fort Wayne, IN 46845-1735 | 2016-08-08 |
| Street Address |
44344 DEQUINDRE RD STE 210 |
| City | STERLING HEIGHTS |
| State | MI |
| Zip Code | 48314-1039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225194244 | Gina Monteleone | Physician Assistant | 44344 Dequindre Rd Ste 210, Sterling Heights, MI 48314-1039 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154961720 | Sterling Heights Comfort Care LLC | Assisted Living Facility | 44456 Mound Rd, Sterling Heights, MI 48314 | 2020-01-13 |
| 1053875591 | Preztige Medical Transportation | Non-emergency Medical Transport (VAN) | 43656 Vintage Oaks Drive, Sterling Heights, MI 48314 | 2019-01-29 |
| 1396215935 | Alice Arulselvi Andrews | Nurse Practitioner | 4697 Aspenwood Dr, Sterling Heights, MI 48314 | 2018-11-27 |
| 1861938680 | Hope Physical Therapy | Physical Therapist | 42301 Mound Rd, Sterling Heights, MI 48314 | 2017-01-18 |
| 1972050292 | Sudomir Sleep Solutions, L.L.C. | Pediatrics | 43184 Dequindre Rd., Suite 206, Sterling Heights, MI 48314 | 2016-09-02 |
| 1457720534 | Soltions 2 Life LLC | Home Health | 3220 Cherry Creek Lane, Sterling Heights, MI 48314 | 2015-09-18 |
| 1326449091 | Lauren Ehardt | Dentist | 43060 Mound Rd, Sterling Heights, MI 48314 | 2014-09-11 |
| 1134554819 | Amy Kathryn Barnes | Social Worker | 5995 Nineteen Mile Rd, Sterling Heights, MI 48314 | 2013-09-12 |
| 1952666117 | Michigan's Dental Health Professional | Dentist | 42370 Van Dyke Ave Suite 101, Sterling Hts, MI 48314 | 2012-07-12 |
| 1699051557 | Sanju Koithara | Physical Therapist | 2644 Balsam Way Drive, Sterling Heights, MI 48314 | 2011-10-24 |
| Find all providers in zip 48314 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003907213 | Urological Surgeons, PC | Urology | 44344 Dequindre Rd, Suite 210, Sterling Heights, MI 48314-1038 | 2006-09-27 |
| 1720069040 | Ashok Y Reddy | Urology | 44344 Dequindre Rd, Suite 210, Sterling Heights, MI 48314-1038 | 2005-11-14 |
| 1841271129 | Jayant Bhat | Urology | 44344 Dequindre Rd, Suite 210, Sterling Heights, MI 48314-1038 | 2005-11-14 |
| 1649261108 | Kirit K Vora | Urology | 44344 Dequindre Rd, Suite 210, Sterling Heights, MI 48314-1038 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477488 | Munson Healthcare Charlevoix Hospital | Urology | 11695 Park Ave, Suite A, Charlevoix, MI 49720 | 2020-11-06 |
| 1396235610 | Munson Medical Center | Urology | 405 N Division Rd Ste 2, Petoskey, MI 49770-9046 | 2018-05-11 |
| 1770072498 | Bellin Health Iron Mountain Inc | Urology | 1005 S Hemlock St Ste B, Iron Mountain, MI 49801-3854 | 2018-05-08 |
| 1205215621 | Alexander David Tapper | Urology | 44200 Woodward Ave Ste 207, Pontiac, MI 48341-5045 | 2015-05-19 |
| 1912324211 | Boston Medical Group, P.C. | Urology | 24901 Northwestern Hwy., Suite 615, Southfield, MI 48075 | 2014-03-25 |
| 1548600984 | Katie Marie Rosen | Urology | 19991 Hall Rd Ste 201, Macomb, MI 48044 | 2013-06-30 |
| 1609213636 | Arya Khatiwoda | Urology | 2900 Hannah Blvd Ste 104, East Lansing, MI 48823-5380 | 2013-05-31 |
| 1003179730 | Kalen Jacob Rimar | Urology | 130 Town Center Dr Ste 101, Troy, MI 48084 | 2012-06-18 |
| 1780955294 | Harry Nicholas Kotsis | Urology | 265 Touraine Rd, Grosse Pointe Farms, MI 48236-3308 | 2012-01-16 |
| 1750678264 | Michael Kozminski | Urology | 245 Cherry St Se Ste 202, Grand Rapids, MI 49503-4607 | 2011-07-05 |
| Find all providers with the same taxonomy | ||||
| City | STERLING HEIGHTS |
| Zip Code | 48314 |
Please comment or provide details below to improve the information on RYAN JAMES NELSON.
| 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.