DR. JARED WYNN NELSON (NPI# 1235455056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235455056 |
| Entity Type | Individual |
| Full Name | DR. JARED WYNN NELSON |
| Credential | M.D. |
| Practice Address |
2769 Heartland Drive Suite 105 Coralville IA 52241 |
| Practice Telephone | 3195457300 |
| Practice Fax Number | 3195457314 |
| Mailing Telephone | 3195457310 |
| Mailing Fax Number | 3195457314 |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2013-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
38955 | IA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MT186557 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104552 | Jared Carter Nelson | Counselor | 1334 Post Ave, Torrance, CA 90501-2620 | 2020-11-02 |
| 1366902231 | Jared Nelson | Counselor | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2019-03-25 |
| 1376032383 | Jared Daune Nelson | Counselor | 7455 Arroyo Crossing Pkwy Ste 220, Las Vegas, NV 89113-4088 | 2018-05-04 |
| 1104321876 | Jared Nelson | Chiropractor | 10204 Garland Rd, Dallas, TX 75218-2921 | 2018-03-26 |
| 1780034363 | Jared R Nelson | Internal Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2016-06-15 |
| 1518304435 | Jared Nelson | Optometrist | 1651 W Rose St, Walla Walla, WA 99362-1689 | 2013-06-01 |
| 1295091791 | Jared Michael Nelson | Psychiatry & Neurology | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2012-04-09 |
| 1528034980 | Jared William Nelson | Family Medicine | 701 Hospital Loop, 92 Medical Group, Fairchild Air Force Base, WA 99011 | 2006-02-27 |
| Street Address |
2769 HEARTLAND DRIVE SUITE 105 |
| City | CORALVILLE |
| State | IA |
| Zip Code | 52241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790762672 | Dean Alexander Mcnaughton | Internal Medicine | 2769 Heartland Drive, Suite 105, Coralville, IA 52241 | 2005-12-30 |
| 1578894978 | Justin Plum | Physical Therapist | 2769 Heartland Drive, Ste. 301, Coralville, IA 52241 | 2010-01-25 |
| 1326095704 | Scott Michael Truhlar | Radiology | 2769 Heartland Drive, Suite 105, Coralville, IA 52241 | 2006-05-30 |
| 1568419604 | Shane Arthur Kraske | Radiology | 2769 Heartland Drive, Suite 105, Coralville, IA 52241 | 2006-05-27 |
| 1588610661 | James Alan Wiese | Radiology | 2769 Heartland Drive, Suite 105, Coralville, IA 52241 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281915 | Impact Physician Group Iowa LLC | Internal Medicine | 2801 Heartland Dr, Coralville, IA 52241 | 2020-10-01 |
| 1114550886 | Encompass Health Rehabilitation Hospital of Iowa City, LLC | Rehabilitation Hospital | 2450 Coral Court, Coralville, IA 52241 | 2020-02-20 |
| 1215575394 | Eastern Iowa Rehabilitation Hospital, LLC | Rehabilitation Hospital | 2801 Heartland Drive, Coralville, IA 52241 | 2019-12-19 |
| 1851938690 | Matthew Easley | Speech-Language Pathologist | 2854 Coral Court, Ste 1, On With Life Outpatient Neuro Rehabilitation, Coralville, IA 52241 | 2019-11-27 |
| 1245892629 | On With Life, Inc | Clinic/Center | 2854 Coral Court, Suite 1, Coralville, IA 52241 | 2019-07-05 |
| 1376024869 | Hy Vee Inc | Pharmacy | 3285 Crosspark Road, Coralville, IA 52241 | 2018-08-23 |
| 1861996191 | Roggy Vision Center, Pllc | Optometrist | 708 5th St Ste 1, Coralville, IA 52241 | 2018-03-21 |
| 1013446467 | Monica Basile | Midwife | 501 12th Ave, St 102, Coralville, IA 52241 | 2017-06-08 |
| 1568893121 | Mohamed Karim | Chiropractor | 1801 Brown Deer Trail, Coralville, IA 52241 | 2013-12-09 |
| 1689011405 | Nicole Ann Wagaman | Family Medicine | 2801 Heartland Dr., Coralville, IA 52241 | 2013-06-03 |
| Find all providers in zip 52241 | ||||
| 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 |
|---|---|---|---|---|
| 1023061702 | Radiologic Medical Services Pro Corp | Radiology | 2769 Heartland Dr Ste 105, Coralville, IA 52241-2732 | 2006-05-17 |
| 1679917371 | Corridor Radiology, LLC | Radiology | 2769 Heartland Dr, Ste 105, Coralville, IA 52241-2732 | 2013-04-24 |
| 1053406116 | Radiologic Medical Services, PC | Radiology | 2769 Heartland Dr Ste 105, Coralville, IA 52241-2732 | 2006-10-04 |
| 1326095704 | Scott Michael Truhlar | Radiology | 2769 Heartland Drive, Suite 105, Coralville, IA 52241 | 2006-05-30 |
| 1568419604 | Shane Arthur Kraske | Radiology | 2769 Heartland Drive, Suite 105, Coralville, IA 52241 | 2006-05-27 |
| 1588610661 | James Alan Wiese | Radiology | 2769 Heartland Drive, Suite 105, Coralville, IA 52241 | 2006-05-26 |
| 1306891379 | Timothy Martin Skopec | Radiology | 2769 Heartland Dr, Suite 105, Coralville, IA 52241-2732 | 2006-05-24 |
| 1134173016 | Colin James O'brien | Radiology | 2769 Heartland Dr, Suite 105, Coralville, IA 52241-2732 | 2006-05-22 |
| 1861445348 | Kirk Kendal Garmager | Radiology | 2769 Heartland Dr, Suite 105, Coralville, IA 52241-2732 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821411547 | Robert Picchiotti | Radiology | 2189 Saint Andrews Cir, Bettendorf, IA 52722-6655 | 2014-01-31 |
| 1295097970 | Alexander Macrae Harvin | Radiology | 5095 S Shore Dr, Clear Lake, IA 50428 | 2012-06-08 |
| 1871825281 | Gregory Day | Radiology | 2609 Bittersweet Pl, Burlington, IA 52601-2510 | 2010-02-10 |
| 1891921813 | Christopher M. Luty | Radiology | 378 N Scott Blvd, Iowa City, IA 52245-4110 | 2009-06-04 |
| 1609012145 | Kfl Radiology Plc | Radiology | 1002 River Forest Ct, Fort Dodge, IA 50501-7019 | 2009-01-06 |
| 1447400288 | Sarah Pauley | Radiology | Radiology Consultants of Iowa, Plc, 1948 1st Ave Ne, Cedar Rapids, IA 52402-5321 | 2008-09-29 |
| 1982869764 | Khaled Ali Hamada | Radiology | 801 Fifth Street, Sioux City, IA 51101-1326 | 2008-07-22 |
| 1902068083 | Ashlesha Sharma | Radiology | 3617 Ross Rd, Ames, IA 50014 | 2008-06-30 |
| 1598961187 | Shiv Patel | Radiology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242 | 2007-06-21 |
| 1164640041 | Bryan P Navarette | Radiology | 1010 4th St Sw Ste 100, Mason City, IA 50401-2856 | 2007-04-23 |
| Find all providers with the same taxonomy | ||||
| City | CORALVILLE |
| Zip Code | 52241 |
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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.