DR. GARY ROBERT NELSON (NPI# 1245209634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245209634 |
| Entity Type | Individual |
| Full Name | DR. GARY ROBERT NELSON |
| Credential | DO |
| Practice Address |
3320 N Benzing Rd Orchard Park NY 14127-1538 |
| Practice Telephone | 7169720300 |
| Practice Fax Number | 7169720309 |
| Mailing Telephone | 7169720300 |
| Mailing Fax Number | 7169720309 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2018-11-19 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
164038 | NY | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 164038 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083088868 | Gary Nelson | Counselor | 8008 Route 130 Bldg A, Ste 206, Delran, NJ 08075-1869 | 2015-11-17 |
| 1255536454 | Gary Nelson | Counselor | Rr 3 Box 1230, Wilburton, OK 74578-9523 | 2007-06-18 |
| 1619090834 | Gary L Nelson | Counselor | 14301 County Highway B, Sparta, WI 54656-4509 | 2007-04-10 |
| 1558423384 | Gary Lee Nelson | Dentist | 274 Delaware Avenue, Delmar, NY 12054 | 2006-12-15 |
| 1033277629 | Gary H Nelson | Technician/Technologist | 707 Fairmount Ave, Suite 11, Jamestown, NY 14701-2623 | 2006-12-05 |
| 1700954518 | Gary J Nelson | Dentist | 3350 S 15th E, Idaho Falls, ID 83404-8321 | 2006-12-01 |
| 1144327396 | Gary G Nelson | Specialist/Technologist | 2580 Mccrays Mill Rd, Sumter, SC 29154-6028 | 2006-09-20 |
| 1629035795 | Gary E Nelson | Physician Assistant | 150 E Center St, Suite 1100, Provo, UT 84606-3106 | 2006-05-01 |
| 1396290201 | Gary Edwin Nelson | Pharmacist | 1700 Ne 102nd Ave, Portland, OR 97220-3804 | 2016-08-20 |
| 1558644351 | Gary W Nelson | Social Worker | 5638 Professional Cir, Indianapolis, IN 46241-5042 | 2011-09-28 |
| Street Address |
3320 N BENZING RD |
| City | ORCHARD PARK |
| State | NY |
| Zip Code | 14127-1538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356447270 | Southtowns Internal Medicine PC | Internal Medicine | 3320 N Benzing Rd, Orchard Park, NY 14127-1538 | 2006-09-16 |
| 1194745281 | Kenneth Joseph Guth | Internal Medicine | 3320 N Benzing Rd, Orchard Park, NY 14127-1538 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902330 | Ellory Marie Roberts | Physical Therapist | 3065 Southwestern Blvd Ste. 108, Orchard Park Progressive Physical Therapy At Parkland P, Orchard Park, NY 14127 | 2020-11-03 |
| 1821649377 | Jeannine Ann Haak | Occupational Therapy Assistant | 6455 West Quaker Street, Orchard Park, NY 14127 | 2019-09-26 |
| 1578038147 | Cody Adam Barber | Counselor | 3176 Abbot Rd, Building A, Suite 500, Orchard Park, NY 14127 | 2018-10-09 |
| 1922522259 | Mikaela Rose Ditonto | Emergency Medical Technician, Basic | 7 Woodbine Ct., Orchard Park, NY 14127 | 2017-07-28 |
| 1770007098 | Mary C Daley | Psychologist | 196 Stonehenge Dr., Orchard Park, NY 14127 | 2017-07-28 |
| 1346762960 | Michael James Robb | Counselor | 3176 Abbott Rd., Bldg A. Suite 500, Orchard Park, NY 14127 | 2017-07-14 |
| 1740733575 | Nr Physician Group, Pllc | Radiology | 3910 N Buffalo St, Orchard Park, NY 14127 | 2016-07-28 |
| 1376096057 | Joshua E Weeks | Physician Assistant | 3671 Southwestern Blvd St 101, Suite 101, Orchard Park, NY 14127 | 2016-07-28 |
| 1922400746 | Anton Alisankus | Counselor | 272 Thorn Ave, Orchard Park, NY 14127 | 2014-09-24 |
| 1912324393 | Luke Lennox | Dermatology | 3900 N Buffalost, Williamsville, NY 14127 | 2014-03-24 |
| Find all providers in zip 14127 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083220677 | Ellen Mcstravick | Family Medicine | 5530 Sheridan Dr Ste 2, Williamsville, NY 14221-3730 | 2020-09-18 |
| 1598384489 | Jimmy Gelin | Family Medicine | 18639 140th Ave, Springfield Gardens, NY 11413-2617 | 2020-04-11 |
| 1871145011 | Prince Aboagye Dankwah | Family Medicine | 157 Barnes Rd, Washingtonville, NY 10992-1931 | 2019-07-09 |
| 1194206441 | Madison Physician Practice PC | Family Medicine | 983 Park Ave # 1d, New York, NY 10028-0808 | 2018-08-24 |
| 1245717115 | Darlean James | Family Medicine | 183 Park St Ste 5678, Malone, NY 12953 | 2018-07-24 |
| 1609380617 | Donna Yu | Family Medicine | 6402 8th Ave Ste 301, Brooklyn, NY 11220-4720 | 2017-11-29 |
| 1720591688 | Jane S Ferraina | Family Medicine | 259 Boughton Hill Rd, Honeoye Falls, NY 14472-9706 | 2017-11-14 |
| 1245750918 | Long Island Nurse Practitioners | Family Medicine | 97 Ronni Dr, East Meadow, NY 11554-1330 | 2017-06-23 |
| 1548700925 | Special Medical PC | Family Medicine | 699 B Stanley Avenue, Brooklyn, NY 11207 | 2017-03-03 |
| 1043762404 | Ji Medical Group PC | Family Medicine | 3825 Parsons Blvd, Ste 1g, Flushing, NY 11354-5837 | 2016-11-01 |
| Find all providers with the same taxonomy | ||||
| City | ORCHARD PARK |
| Zip Code | 14127 |
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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.