MR. KENNETH NEAL NELSON (NPI# 1265728893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265728893 |
| Entity Type | Individual |
| Full Name | MR. KENNETH NEAL NELSON |
| Credential | D.O. |
| Practice Address |
5700 Cooper Foster Park Rd W Lorain OH 44053-4152 |
| Practice Telephone | 4402047400 |
| Mailing Telephone | 4402047400 |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2017-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
34.013003 | OH | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3600 Nw Samaritan Dr, Suite E-350, Corvallis, OR 973303737 | 5417685205 | 5417685206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649435231 | Kenneth Roy Nelson | Dentist | 1505 Shepard Dr Ste 101, Santa Maria, CA 93454-7016 | 2008-07-23 |
| 1336293471 | Kenneth E Nelson | Family Medicine | 2676 G Rd, Grand Junction, CO 81506-8395 | 2007-01-23 |
| 1548219694 | Kenneth Scott Nelson | Pharmacist | 132 S. Main, Luck Pharmacy Inc, Luck, WI 54853 | 2006-05-08 |
| 1922650928 | Kenneth Nelson | Behavior Technician | 28000 Woodward, Suite 100, Royal Oak, MI 48067 | 2019-07-10 |
| 1841376910 | Kenneth Nelson | Orthopaedic Surgery | 1025 Morehead Medical Dr, Suite 300, Charlotte, NC 28204-2963 | 2006-10-31 |
| 1538183900 | Kenneth W. Nelson | Dentist | 1919 N Webb Rd, Wichita, KS 67206-3405 | 2006-07-27 |
| 1265454573 | Kenneth Eugene Nelson | Dentist | 401 S Euclid Ave, Bay City, MI 48706-3205 | 2006-07-24 |
| 1700838745 | Kenneth Nelson | Family Medicine | 2434 Wolf Rd, Westchester, IL 60154-5634 | 2006-05-17 |
| 1811945710 | Kenneth Nelson | Internal Medicine | 1000 E Paris Ave Se, Suite 260, Grand Rapids, MI 49546-3680 | 2006-05-04 |
| 1114902244 | Kenneth E Nelson | Anesthesiology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2005-12-13 |
| Street Address |
5700 COOPER FOSTER PARK RD W |
| City | LORAIN |
| State | OH |
| Zip Code | 44053-4152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326018177 | Elaine Victoria Selos-hoy | Physician Assistant | 5700 Cooper Foster Park Rd W, Lorain, OH 44053-4152 | 2006-01-25 |
| 1851906499 | Amy Marie Emerick | Family Medicine | 5700 Cooper Foster Park Rd W, Lorain, OH 44053-4152 | 2020-09-10 |
| 1578103586 | Kirsten Ingrid Marshall | Nurse Practitioner | 5700 Cooper Foster Park Rd W, Lorain, OH 44053-4152 | 2020-01-08 |
| 1588133235 | Christina Lynn Aponte | Family Medicine | 5700 Cooper Foster Park Rd W, Lorain, OH 44053-4152 | 2018-11-23 |
| 1841769304 | Scott Bryan | Specialist/Technologist | 5700 Cooper Foster Park Rd W, Lorain, OH 44053-4152 | 2018-11-14 |
| 1659814382 | Jennifer Lynn Olsen | Nurse Practitioner | 5700 Cooper Foster Park Rd W, Lorain, OH 44053-4152 | 2016-11-29 |
| 1093257701 | Bethany Farrell | Clinical Nurse Specialist | 5700 Cooper Foster Park Rd W, Lorain, OH 44053-4152 | 2016-11-11 |
| 1184077265 | Erin Marie Mckay | Nurse Practitioner | 5700 Cooper Foster Park Rd W, Lorain, OH 44053-4152 | 2016-07-13 |
| 1538529839 | Lauren Elizabeth Hancharick | Physician Assistant | 5700 Cooper Foster Park Rd W, Lorain, OH 44053-4152 | 2016-02-29 |
| 1306225255 | Danielle Sheppard | Registered Nurse | 5700 Cooper Foster Park Rd W, Lorain, OH 44053-4152 | 2015-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242196 | Yokita Maria Thomas | Homemaker | 4818 Ashland Ave, Lordin, OH 44053 | 2020-10-14 |
| 1497353445 | Matthew George Simkovich | Homemaker | 4366 Jenee Dr, Lorain, OH 44053 | 2020-10-13 |
| 1881229979 | Christine Wilson | Physical Therapist | 5940 Oak Point Rd., Lorain, Lorain, OH 44053 | 2020-03-09 |
| 1912538760 | Barry Delaney Masin | Student in an Organized Health Care Education/Training Program | 2704 West Erie Avenue, Lorain, OH 44053 | 2020-01-30 |
| 1275171399 | Martina Beato | Social Worker | The Nord Center 6140 S. Broadway, Lorain, OH 44053 | 2019-12-19 |
| 1285279802 | Tivan LLC | Non-emergency Medical Transport (VAN) | 5821 Williamsburg Dr., Lorain, OH 44053 | 2019-11-07 |
| 1023650843 | Candace Taber | Case Manager/Care Coordinator | 6140 South Broadway, Lorain, OH 44053 | 2019-10-14 |
| 1265956098 | Phillip H Emerson | Social Worker | 1740 Cooper Foster Park Road East, Lorain, OH 44053 | 2017-08-02 |
| 1447796750 | Kafilat Idowu Kelani | Nurse Practitioner | 3700 Kolbe Rd, Lorain, Lorain, OH 44053 | 2017-01-10 |
| 1083075808 | Mark B Applegate | Counselor | 2115 West Park Drive, Lorain, OH 44053 | 2016-03-08 |
| Find all providers in zip 44053 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023347192 | Mercy Health Physicians Lorain, LLC | Internal Medicine | 3700 Kolbe Rd, Lorain, OH 44053-1611 | 2009-12-18 |
| 1578591574 | North Coast Cardiology Inc | Internal Medicine | 3600 Kolbe Rd, Suite 223, Lorain, OH 44053-1654 | 2006-06-29 |
| 1316927668 | Geetha Mohan | Internal Medicine | 3600 Kolbe Rd, Suite 127, Lorain, OH 44053-1654 | 2006-01-20 |
| 1033199930 | John William Schaeffer | Internal Medicine | 3600 Kolbe Rd, Suite 127, Lorain, OH 44053-1654 | 2006-01-18 |
| 1114907243 | David Blaine Joyce | Internal Medicine | 3600 Kolbe Rd, Suite 127, Lorain, OH 44053-1654 | 2006-01-17 |
| 1023097201 | Theodore Raymond Pacheco | Internal Medicine | 3600 Kolbe Rd, Suite 127, Lorain, OH 44053-1654 | 2006-01-16 |
| 1548249741 | Philip Diedrich Wendschuh | Internal Medicine | 3600 Kolbe Rd, Suite 127, Lorain, OH 44053-1654 | 2006-01-16 |
| 1306825617 | Scott Horton Mccallister | Internal Medicine | 3600 Kolbe Rd, Suite 127, Lorain, OH 44053-1654 | 2006-01-13 |
| 1205810694 | Mohamad G Salka | Internal Medicine | 3600 Kolbe Rd, Suite 223, Lorain, OH 44053 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912569781 | United Diagnostic Services LLC | Internal Medicine | 895 Parsons Ave Ste 1b, Columbus, OH 43206-2398 | 2019-07-02 |
| 1093377764 | Tom Kai Ming Wang | Internal Medicine | Cleveland Clinic 9500 Euclid Avenue Na23, Cleveland, OH 44195-0001 | 2019-07-02 |
| 1316504723 | Olivia Kay Preston | Internal Medicine | 543 Taylor Ave Ste 3002, Columbus, OH 43203-1278 | 2019-05-21 |
| 1932669181 | United Diagnostic Services LLC | Internal Medicine | 895 Parsons Ave Unit B Ste 1, Columbus, OH 43206-2398 | 2019-03-23 |
| 1982168100 | Optimum Cardiology Inc | Internal Medicine | 4825 Higbee Ave Nw Ste 102, Canton, OH 44718-2567 | 2019-01-23 |
| 1053859124 | Andrew Michael Dominic Crean | Internal Medicine | Division of Cardiovascular Health And, 231 Albert Sabin Way, Cincinnati, OH 45267-0001 | 2017-02-08 |
| 1306393541 | Lima Memorial Professional Corporation | Internal Medicine | 140 Fox Rd Ste 103 1/2, Van Wert, OH 45891-3400 | 2016-09-06 |
| 1699221234 | Hatem Mowafy I | Internal Medicine | 12 Avenue Street Ross Hear Hospital, Columbus, OH 43202 | 2016-09-01 |
| 1720432693 | Radoslav Zinoviev | Internal Medicine | 9500 Euclid Ave Rm J3-6, Cleveland, OH 44195-3220 | 2016-04-18 |
| 1053773838 | Dayton Springfield Heart and Vascular Medicine, LLC | Internal Medicine | 7111 N. Main St., Suite 50, Dayton, OH 45415-2558 | 2016-03-22 |
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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.