DR. LAWRENCE GRANT NELSON (NPI# 1316085996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316085996 |
| Entity Type | Individual |
| Full Name | DR. LAWRENCE GRANT NELSON |
| Other Name | DR. LARRY NELSON |
| Credential | MD |
| Practice Address |
6619 N Wickham Rd Melbourne FL 32940-2006 |
| Practice Telephone | 3212599500 |
| Mailing Telephone | 3292599500 |
| Mailing Fax Number | 3215748656 |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2020-01-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME139584 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 1316085996 | 05 | |
| FL | STATE MEDICAL LICENSE | ME139584 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5205 Babcock St Ne Ste 3, Palm Bay, FL 329054638 | 3217291400 | |
| 950 S Apollo Blvd Bldg 3, Melbourne, FL 329011932 | 3218633316 | 8013750097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932514080 | Lawrence Nelson | Family Medicine | 13806 436th Ave, Webster, SD 57274-5616 | 2014-06-27 |
| 1467555896 | Lawrence James Nelson I | Family Medicine | 777 Clairton Blvd, Pittsburgh, PA 15236-4516 | 2006-09-07 |
| 1538123245 | Lawrence Harold Nelson II | Social Worker | 2315 Broadway St, Boulder, CO 80304-4122 | 2006-04-12 |
| 1427035534 | Lawrence Nelson | Family Medicine | 8103 Burden Rd, Machesney Park, IL 61115-8208 | 2005-12-29 |
| 1699815647 | Lawrence Karl Nelson | Chiropractor | 7100 Sw Hampton St, Ste 121a, Tigard, OR 97223-8390 | 2007-02-07 |
| 1598836025 | Lawrence Craig Nelson | Dentist | 604 Locust St, Suite 702, Des Moines, IA 50309-3705 | 2006-11-13 |
| Street Address |
6619 N WICKHAM RD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32940-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952385981 | Ruben J Pipek | Internal Medicine | 6619 N Wickham Rd, Melbourne, FL 32940-2006 | 2005-12-02 |
| 1083178735 | Angela Marie Armellini | Family Medicine | 6619 N Wickham Rd, Melbourne, FL 32940-2006 | 2019-01-28 |
| 1679072375 | Suntree Endocrinology | Internal Medicine | 6619 N Wickham Rd, Melbourne, FL 32940-2006 | 2018-02-08 |
| 1942711361 | Laura Moncada | Nurse Practitioner | 6619 N Wickham Rd, Melbourne, FL 32940-2006 | 2017-10-12 |
| 1497296693 | Meghan Lytle Galili | Internal Medicine | 6619 N Wickham Rd, Melbourne, FL 32940-2006 | 2017-03-20 |
| 1720459654 | Shannon Spreitzer | Nurse Practitioner | 6619 N Wickham Rd, Melbourne, FL 32940-2006 | 2015-10-19 |
| 1811301641 | Lauren Bullard | Counselor | 6619 N Wickham Rd, Melbourne, FL 32940-2006 | 2014-06-19 |
| 1124373212 | Ami Bhatt | Family Medicine | 6619 N Wickham Rd, Melbourne, FL 32940-2006 | 2012-07-16 |
| 1033474952 | Nikka Cohan | Nurse Practitioner | 6619 N Wickham Rd, Melbourne, FL 32940-2006 | 2012-07-06 |
| 1427209147 | Scott Hardoon | Internal Medicine | 6619 N Wickham Rd, Melbourne, FL 32940-2006 | 2008-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403649 | True Motion Physical Therapy and Wellness | Clinic/Center | 3536 Peninsula Circle, Mlebourne, FL 32940 | 2020-06-26 |
| 1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
| 1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
| 1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
| 1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
| 1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
| 1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
| Find all providers in zip 32940 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970277 | Kimberly Gayle Ross | Family Medicine | 1919 Slone Blvd, Melbourne, FL 32935-4756 | 2020-07-28 |
| 1245706423 | Vargas Medical Services LLC | Family Medicine | 606 Sheridan Rd, Melbourne, FL 32901-3227 | 2018-10-16 |
| 1013467554 | First Locums Inc | Family Medicine | 3248 Cortona Dr, Melbourne, FL 32940-8613 | 2016-10-07 |
| 1922327774 | Angela Matthews | Family Medicine | 2694 Judge Fran Jamieson Way, Overflow Parking Lot, Melbourne, FL 32940 | 2010-05-19 |
| 1013197201 | Lauren Romeo Md Pa | Family Medicine | 1698 W Hibiscus Blvd Ste B, Melbourne, FL 32901-2639 | 2007-11-06 |
| 1023220605 | Marta Cyzio | Family Medicine | 1368 Tipperary Dr, Melbourne, FL 32940-6030 | 2007-05-04 |
| 1578787941 | Donna J. Badolato, Md, Pa | Family Medicine | 8061 Spyglass Hill Rd., Suite 102, Melbourne, FL 32940 | 2007-04-13 |
| 1801914858 | Marilyn C. Moss, M.d. | Family Medicine | 3210 N Wickham Rd, Suite 1, Melbourne, FL 32935-2300 | 2007-03-27 |
| 1639217870 | Kenneth Robert Mcelynn | Family Medicine | 7925 N Wickham Rd Ste B, Melbourne, FL 32940-8211 | 2007-02-01 |
| 1760568935 | Kristine R Everding | Family Medicine | 2002 Pennwood Dr, Melbourne, FL 32901-5934 | 2006-10-31 |
| Find all providers in MELBOURNE | ||||
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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.