DR. ERIC REYNOLD NELSON (NPI# 1376541805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376541805 |
| Entity Type | Individual |
| Full Name | DR. ERIC REYNOLD NELSON |
| Credential | M.D. |
| Practice Address |
3101 Clearwater Dr Suite A Prescott AZ 86305-7180 |
| Practice Telephone | 9287761004 |
| Practice Fax Number | 9287761276 |
| Mailing Telephone | 9287761004 |
| Mailing Fax Number | 9287761276 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2012-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 29418 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 589286 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730544826 | Eric D Nelson | Anesthesiology | 19251 Brookhurst St, Spc 116, Huntington Beach, CA 92646-2923 | 2015-12-16 |
| 1538406749 | Eric David Nelson | Counselor | 2060 Centre Pointe Boulevard, Suite #3, Saint Paul, MN 55120-1271 | 2013-01-08 |
| 1083919534 | Eric T Nelson | Physical Therapist | 2000 Harding St, Clearwater, FL 33765-2507 | 2011-01-13 |
| 1194989632 | Eric Stephen Nelson | Physical Therapy Assistant | 1630 Worcester Rd Apt 412, Framingham, MA 01702-5453 | 2008-07-14 |
| 1245368331 | Eric Helland Nelson | Counselor | 3940 Cedar St, Eureka, CA 95503-7615 | 2007-03-01 |
| 1790845105 | Eric Allen Nelson | Chiropractor | 289 White Horse Pike Ste 201, Atco, NJ 08004-2257 | 2006-12-08 |
| 1528169505 | Eric J Nelson | Physical Therapist | 9174 N Placita San Angel, Tucson, AZ 85742-1122 | 2006-09-25 |
| 1538192422 | Eric G. Nelson | Dentist | 204 N Ahtanum Ave, Wapato, WA 98951-1126 | 2006-07-07 |
| 1912951765 | Eric Christian Nelson | Nurse Practitioner | 121 Oak Bay Rd, Port Hadlock, WA 98339 | 2006-05-19 |
| 1376593640 | Eric Webb Nelson | Dentist | 3003 W Main St Ste 130, Boise, ID 83702-2026 | 2006-05-10 |
| Street Address |
3101 CLEARWATER DR SUITE A |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86305-7180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265840037 | Lifetime Medical Care Pllc | Clinic/Center | 3101 Clearwater Dr, Suite B, Prescott, AZ 86305-7180 | 2014-07-24 |
| 1164750923 | Shelly Bethann Damschroder | Nurse Practitioner | 3101 Clearwater Dr, Suite B, Prescott, AZ 86305-7180 | 2009-12-05 |
| 1083877070 | Svassama | Clinic/Center | 3101 Clearwater Dr, Suite D, Prescott, AZ 86305-7180 | 2008-07-09 |
| 1376723189 | Eric R Nelson Md PC | Surgery | 3101 Clearwater Dr, Suite A, Prescott, AZ 86305-7180 | 2007-11-08 |
| 1417145426 | Frank Iorio Md | Surgery | 3101 Clearwater Dr, Suite D, Prescott, AZ 86305-7180 | 2007-10-04 |
| 1629154588 | Rose Steeg Phillips | Marriage & Family Therapist | 3101 Clearwater Dr, Suite B, Prescott, AZ 86305 | 2006-10-31 |
| 1083795215 | Karen L Yates | Internal Medicine | 3101 Clearwater Dr, Suite C, Prescott, AZ 86305-7180 | 2006-10-17 |
| 1790873198 | Frank Iorio | Surgery | 3101 Clearwater Dr, #d, Prescott, AZ 86305-7180 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972005395 | Granite View Adult Care Home LLC | Assisted Living Facility | 7105 Williamson Valley Road, Prescott, AZ 86305 | 2018-03-01 |
| 1215468095 | Valerie Williams | Occupational Therapist | 926 S. Hinman Dr., Prescott, AZ 86305 | 2017-03-23 |
| 1174073837 | Caspian Gleam Medical Center LLC | Clinic/Center | 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 | 2016-10-06 |
| 1114388634 | Marla Beth Perkins | Speech-Language Pathologist | 3160 Stillwater Dr., Prescott, AZ 86305 | 2016-03-10 |
| 1790159853 | Michele A. Bibeau, D.d.s. | Dentist | 1058 Fair Street, Suite A, Prescott, AZ 86305 | 2015-11-30 |
| 1609264837 | Integrative Pain Centres of Prescott | Pain Medicine | 3769 Crossings Drive, Suite B, Integrative Pain Centres of Prescott, Prescott, AZ 86305 | 2014-12-22 |
| 1649697251 | Sharon Marilyn Jackson | Counselor | 3636 Crossings Drive, Prescott, AZ 86305 | 2014-03-20 |
| 1215351259 | Stefanie Maneval | Registered Nurse | 900 Iron Springs Rd, Prescott, AZ 86305 | 2014-02-11 |
| 1508207523 | Recovery In The Pines, LLC | Community/Behavioral Health | 919 12th Place #13, Prescott, AZ 86305 | 2013-07-08 |
| 1871857359 | Neal Herbert Segovia Cabaluna | Internal Medicine | 3773 Crossings Dr Ste C, Prescott, AZ 86305 | 2012-06-28 |
| Find all providers in zip 86305 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811253230 | Stanford Paul Sadick | Surgery | 3908 Twisted Trails, Prescott, AZ 86301-6724 | 2012-04-10 |
| 1649464454 | Yavapai Community Hospital Association | Surgery | 804 Ainsworth Drive Ste. 103, Prescott, AZ 86301-1624 | 2007-09-05 |
| 1750389276 | Brian P Schilperoort | Surgery | 2001 Excellence Way, Suite 200, Prescott, AZ 86301-8410 | 2005-07-08 |
| 1417256447 | Yavapai Surgical PC | Surgery | 810 Ainsworth Dr, Suite A, Prescott, AZ 86301-1612 | 2011-03-16 |
| 1457680456 | Thomas H. Hirasa, M.d., Pllc | Surgery | 804 Ainsworth Dr, Suite 103, Prescott, AZ 86301-1624 | 2009-12-22 |
| 1659609238 | Prescott Surgical Clinic Pa | Surgery | 810 Ainsworth Dr, Suite A, Prescott, AZ 86301-1612 | 2009-11-19 |
| 1376723189 | Eric R Nelson Md PC | Surgery | 3101 Clearwater Dr, Suite A, Prescott, AZ 86305-7180 | 2007-11-08 |
| 1417145426 | Frank Iorio Md | Surgery | 3101 Clearwater Dr, Suite D, Prescott, AZ 86305-7180 | 2007-10-04 |
| 1437368404 | Jose E Torres | Surgery | 811 Ainsworth Dr, Suite 109, Prescott, AZ 86301-1687 | 2007-05-22 |
| 1679649552 | Catherine C. Ohsiek-lesnick | Surgery | 242 Whipple St, Prescott, AZ 86301-1787 | 2006-11-24 |
| Find all providers in PRESCOTT | ||||
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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.