MICHAEL LEE NELSON (NPI# 1326298787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326298787 |
| Entity Type | Individual |
| Full Name | MICHAEL LEE NELSON |
| Credential | PA |
| Practice Address |
575 N Sioux Point Rd Dakota Dunes SD 57049-5312 |
| Practice Telephone | 6052172667 |
| Practice Fax Number | 6052172900 |
| Mailing Telephone | 6052172667 |
| Mailing Fax Number | 6052172900 |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2013-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA-758 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
002266 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0809 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1326298787 | 05 | |
| SD | 1326298787 | 05 | |
| NE | 1326298787 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669970638 | Michael Steven Nelson | Marriage & Family Therapist | 2423 Camino Del Rio S Ste 105, San Diego, CA 92108-3734 | 2018-01-25 |
| 1477065829 | Michael Nelson | Contractor | 4719 Cooper St, Albany, GA 31705-6009 | 2017-10-25 |
| 1275060410 | Michael Nelson | Chiropractor | 2147 Nw Highway 101, Lincoln City, OR 97367-4254 | 2017-05-18 |
| 1639536717 | Michael Nelson | Chiropractor | 10623 Professional Cir, Suite A, Reno, NV 89521-5846 | 2016-01-20 |
| 1477971141 | Michael Bradley Nelson | Pediatrics | 2000 Olathe # 3b, Kansas City, KS 66160-2620 | 2014-03-31 |
| 1699018192 | Michael Nelson | Dentist | 2803 176th Ave East, Lake Tapps, WA 98391 | 2013-04-03 |
| 1922343714 | Michael Nelson | Physical Therapist | 18501 N Thompson Peak Pkwy, Scottsdale, AZ 85255-6087 | 2012-12-05 |
| 1487971198 | Michael Nelson | Counselor | 11777 Sebastian Way Ste 102, Rancho Cucamonga, CA 91730-0707 | 2010-04-21 |
| 1730354622 | Michael Joseph Nelson Sr. | Registered Nurse | 7445 University Ave, Clive, IA 50325-1337 | 2008-04-23 |
| 1487787115 | Michael Earl Nelson | Dentist | 2025 W Elk Ave, Suite A, Duncan, OK 73533-1602 | 2007-03-13 |
| Street Address |
575 N SIOUX POINT RD |
| City | DAKOTA DUNES |
| State | SD |
| Zip Code | 57049-5312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992708853 | James Lawrence Case | Psychiatry & Neurology | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2005-05-24 |
| 1053911123 | Tyson David Allen | Physician Assistant | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2020-10-28 |
| 1265032544 | Allison Faye Biggerstaff | Registered Nurse | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2020-10-27 |
| 1114524378 | Rosa Maria Marquez | Physician Assistant | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2020-10-01 |
| 1174140552 | Nicole Kay Shea | Registered Nurse | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2020-07-01 |
| 1932734191 | Trisha Marie Anderson | Physician Assistant | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2020-03-09 |
| 1407494388 | Martin R Walsh | Physical Therapist | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2019-12-11 |
| 1437713872 | Daniel Eric Nelson | Specialist/Technologist | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2019-04-30 |
| 1023574316 | Nicholas Nielsen | Physical Therapist | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2019-02-12 |
| 1992286223 | Trae Jordan Bergh | Physician Assistant | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2018-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093356800 | Dennis Alan Bickett | Physical Therapist | 365 W Anchor Drive, North Sioux City, SD 57049 | 2019-10-02 |
| 1053872416 | Ryan Joel Anderson | Nurse Anesthetist, Certified Registered | Address: 101 Tower Rd, Suite 201, Dakota Dunes, SD 57049 | 2019-03-28 |
| 1043769656 | Jeffrey L Howenstein Dmd Ms PC | Dentist | 711 Sioux Point Rd., Ste. 100, Dakota Dunes, SD 57049 | 2016-09-23 |
| 1821445206 | Abbie A Gacke | Speech-Language Pathologist | 101 Tower Rd Ste 120, Dakota Dunes, SD 57049 | 2016-05-16 |
| 1346606233 | Seth Wolles | Specialist/Technologist | 575 Sioux Point Rd, Dakota Dunes, SD 57049 | 2016-01-07 |
| 1598188252 | Hanger Prosthetics & Orthotics East Inc | Prosthetic/Orthotic Supplier | 330 Dakota Dunes Blvd Ste 150, Dakota Dunes, SD 57049 | 2014-01-30 |
| 1932220217 | Campbell Chiropractic Clinic PC | Chiropractor | 118 Gateway Dr, N. Sioux City, SD 57049 | 2007-04-03 |
| 1912048687 | North Sioux Dental Clinic | Dentist | 101 Merrill Ave., North Sioux City, SD 57049 | 2007-02-08 |
| 1346322716 | Donald B Cork Jr. | Dentist | 101 Merrill Ave, North Sioux City, SD 57049 | 2006-10-19 |
| 1265514681 | Bethany R Nielsen | Dentist | 101 Merrill Ave, Box 1010, North Sioux City, SD 57049 | 2006-10-19 |
| Find all providers in zip 57049 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790746105 | Nichole Renae Friessen | Physician Assistant | 575 Sioux Point Road, Dakota Dunes, SD 57049 | 2006-03-28 |
| 1053911123 | Tyson David Allen | Physician Assistant | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2020-10-28 |
| 1114524378 | Rosa Maria Marquez | Physician Assistant | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2020-10-01 |
| 1932734191 | Trisha Marie Anderson | Physician Assistant | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2020-03-09 |
| 1992286223 | Trae Jordan Bergh | Physician Assistant | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2018-08-24 |
| 1205362282 | Chase Beiermann | Physician Assistant | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2017-05-11 |
| 1568868610 | Ashton Tyler Redstone | Physician Assistant | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2014-11-17 |
| 1750528733 | Batsirai Mutize | Physician Assistant | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2009-01-14 |
| 1699938092 | Cristin Renae Vander Weerdt | Physician Assistant | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2008-07-07 |
| 1073690814 | Reed Barton Mcgill | Physician Assistant | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2006-11-01 |
| Find all providers in DAKOTA DUNES | ||||
| City | DAKOTA DUNES |
| Zip Code | 57049 |
Please comment or provide details below to improve the information on MICHAEL LEE NELSON.
| 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.