KURT NIELSEN (NPI# 1235275314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235275314 |
| Entity Type | Individual |
| Full Name | KURT NIELSEN |
| Credential | MD |
| Practice Address |
8288 S Broadway Ave Tyler TX 75703-5262 |
| Mailing Address |
Po Box 846098 Dallas TX 75284-6098 |
| Practice Telephone | 9036067060 |
| Mailing Telephone | 9033246450 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2014-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | H6474 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 138506424 | 05 | |
| TX | TRICARE | 75-0818167-022 | 01 |
| TX | TRICARE | 752616977118 | 01 |
| TX | BCBS | 8DC102 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346777406 | Kurt David Nielsen | Psychologist | 20186 Front St Ne, Poulsbo, WA 98370-7445 | 2017-05-18 |
| 1295933059 | Kurt E Nielsen | Dentist | 8010 S Holly St Ste 100, Centennial, CO 80122-4011 | 2007-07-03 |
| Street Address |
8288 S BROADWAY AVE |
| City | TYLER |
| State | TX |
| Zip Code | 75703-5262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376549246 | John Jason Page | Family Medicine | 8288 S Broadway Ave, Tyler, TX 75703-5262 | 2005-06-24 |
| 1427449529 | Sonja Faye Tiller | Nurse Practitioner | 8288 S Broadway Ave, Tyler, TX 75703-5262 | 2015-02-10 |
| 1669765350 | Mary Kathryn Eagleton | Pediatrics | 8288 S Broadway Ave, Tyler, TX 75703-5262 | 2011-05-27 |
| 1598993172 | Holly Akin Blanco | Pediatrics | 8288 S Broadway Ave, Tyler, TX 75703-5262 | 2009-06-23 |
| 1487893525 | Gale Jeannie Hobson | Family Medicine | 8288 S Broadway Ave, Tyler, TX 75703-5262 | 2009-02-12 |
| 1063661148 | Andrea M Ellis | Family Medicine | 8288 S Broadway Ave, Tyler, TX 75703-5262 | 2008-09-15 |
| 1194743278 | Roy Brent Wadle | Family Medicine | 8288 S Broadway Ave, Tyler, TX 75703-5262 | 2006-07-17 |
| 1750344966 | Kimberly Eakin Wegener | Internal Medicine | 8288 S Broadway Ave, Tyler, TX 75703-5262 | 2006-04-10 |
| 1003881608 | John W Scroggins | Family Medicine | 8288 S Broadway Ave, Tyler, TX 75703-5262 | 2006-02-17 |
| 1952373987 | Catherine Zilinskas Giordano | Pediatrics | 8288 S Broadway Ave, Tyler, TX 75703-5262 | 2006-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155477 | Choice Supportive Care Team Inc. | Family Medicine | 4293 Kinsey Drive, Tyler, TX 75703 | 2020-02-05 |
| 1770052532 | Refinery Chiropractic LLC | Chiropractor | 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 | 2018-11-21 |
| 1215419353 | Deidre Lynn Fergason | Occupational Therapy Assistant | 3505 Old Jacksonville Hwy, Tyler, TX 75703 | 2018-09-05 |
| 1710473681 | Justin Taylor Ross | Dentist | 8938 S Broadway Ave Ste 380, Tyler, TX 75703 | 2018-07-03 |
| 1457843450 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 8938 South Broadway, Ste 480, Tyler, TX 75703 | 2018-06-05 |
| 1083106462 | Integrity Health | Internal Medicine | 5605 Old Bullard Rd Ste B, Tyler, TX 75703 | 2018-06-01 |
| 1427572544 | Cody Wayne Graham | Pharmacist | 5415 S. Broadway Ave., Tyler, TX 75703 | 2017-07-31 |
| 1750805941 | Roger Bryan Chapman | Nurse Practitioner | 6115 New Copeland Rd, Tyler, TX 75703 | 2017-07-28 |
| 1427570084 | Darah Lynne Dahlem | Speech-Language Pathologist | 401 E. Front Street Ste 123, Tyler, TX 75703 | 2017-07-14 |
| 1194267468 | Herman Lester Hampton Jr. | Surgery | 5803 Regents Row, Tyler, TX 75703 | 2016-11-17 |
| Find all providers in zip 75703 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407140106 | Mark W Mcdonald | Emergency Medicine | 629 Winding Brook Ln, Tyler, TX 75703-0832 | 2011-05-31 |
| 1235260084 | Michael Byron Taylor | Emergency Medicine | 3102 Lakepine Cir, Tyler, TX 75707-1724 | 2007-03-07 |
| 1346279031 | Jill Marie Wortham | Emergency Medicine | 6210 S. Broadway, Tyler, TX 75703 | 2006-07-03 |
| 1699719872 | East Texas Medical Center Healthcare Associates | Emergency Medicine | 1000 S Beckham, Tyler, TX 75701 | 2006-06-16 |
| 1326082892 | East Texas Medical Center Healthcare Associates | Emergency Medicine | 6210 S Broadway Ave, Tyler, TX 75703-4413 | 2006-06-15 |
| 1760425326 | Bradley Robertson | Emergency Medicine | 1809 Capital Dr, Tyler, TX 75701-8438 | 2006-06-13 |
| 1902849417 | Mack D Stewart | Emergency Medicine | 107 Robert E Lee Dr, Tyler, TX 75703-4602 | 2006-06-13 |
| 1295782977 | Sergio V Figueroa Jr. | Emergency Medicine | 1436 Hollytree Pl, Tyler, TX 75703-5774 | 2006-05-28 |
| 1144209354 | Paula Alinda Bessonett | Emergency Medicine | 222 E. Fifth Street, Tyler, TX 75701 | 2006-01-16 |
| 1871578989 | Evans Swann Smith | Emergency Medicine | 833 S Beckham Ave, Tyler, TX 75701-1905 | 2005-12-12 |
| Find all providers in TYLER | ||||
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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.