MATTHEW DEAN NIELSEN (NPI# 1396075743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396075743 |
| Entity Type | Individual |
| Full Name | MATTHEW DEAN NIELSEN |
| Credential | DPM |
| Practice Address |
550 Rush Creek Pkwy Suite A Liberty MO 64068-9604 |
| Practice Telephone | 8164551155 |
| Practice Fax Number | 8164551161 |
| Mailing Telephone | 8164551155 |
| Mailing Fax Number | 8164551161 |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2010-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC005995 | PA | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144697848 | Matthew Burns Nielsen | Pharmacist | 1201a S Division St, Traverse City, MI 49684-4426 | 2015-08-28 |
| 1356622401 | Matthew John Nielsen | Dentist | 224 W D.l. Ingram, Bld. 1408, Cannon Afb, NM 88103 | 2011-09-02 |
| 1205987500 | Matthew Edward Nielsen | Urology | Unc Chapel Hill Dept of Surgery, Urology: Campus Box 7235, Chapel Hill, NC 27599-0001 | 2007-01-15 |
| 1053868471 | Matthew Phillip Nielsen | Pharmacist | 201 3rd Ave, Seward, AK 99664-2088 | 2016-09-01 |
| 1598147845 | Matthew Nielsen | Family Medicine | 1401 E H St, Mc Cook, NE 69001 | 2015-06-23 |
| 1700129707 | Matthew Alan Nielsen | Urology | 710 Lomax St, Jacksonville, FL 32204 | 2013-03-28 |
| 1235442575 | Matthew John Nielsen | Surgery | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2010-07-15 |
| 1215184528 | Matthew Allan Nielsen | Dentist | 324 Se 9th Ave, Suite B, Hillsboro, OR 97123-4247 | 2008-08-19 |
| 1346317740 | Matthew Nielsen | Psychologist | 4700 Las Vegas Blvd N, Nellis Afb, Nellis Afb, NV 89191-6600 | 2006-11-29 |
| Street Address |
550 RUSH CREEK PKWY SUITE A |
| City | LIBERTY |
| State | MO |
| Zip Code | 64068-9604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437159217 | Thomas Craig Boldry | Podiatrist | 550 Rush Creek Pkwy, Suite A, Liberty, MO 64068-9608 | 2005-07-22 |
| 1699173757 | Icare Primary Care Clinic, LLC | Substance Abuse Rehabilitation Facility | 550 Rush Creek Pkwy, Suite B, Liberty, MO 64068-9608 | 2014-12-05 |
| 1316344658 | Icare Primary Care | Exclusive Provider Organization | 550 Rush Creek Pkwy, Suite B, Liberty, MO 64068-9608 | 2014-12-02 |
| 1194762930 | Liberty Medicine Specialists, Inc. | Internal Medicine | 550 Rush Creek Pkwy, Ste B, Liberty, MO 64068-9604 | 2006-06-01 |
| 1801896600 | Julie Jeanette Jones | Podiatrist | 550 Rush Creek Pkwy, Suite A, Liberty, MO 64068-9608 | 2005-07-22 |
| 1629078407 | Paul Owen Gorby | Podiatrist | 550 Rush Creek Pkwy, Suite A, Liberty, MO 64068-9608 | 2005-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437258 | Midwestern Medical Consultants LLC | Assisted Living Facility | 227 W. Franklin St, Liberty, MO 64068 | 2019-09-26 |
| 1063935062 | Jennifer Nichole Gibson | Nurse Practitioner | Liberty Hospital 2525 Glen Hendren Dr, Liberty, MO 64068 | 2017-07-21 |
| 1598288755 | Lhlc Operations, LLC | Skilled Nursing Facility | 2609 Glenn Hendren Dr Ste G100, Liberty, MO 64068 | 2017-07-19 |
| 1023438371 | Sarah E Ehlers | Social Worker | 1170 W. Kansas Ave, Bldg 10, Liberty, MO 64068 | 2014-04-24 |
| 1629498563 | Kelli Hedgpeth | Physical Therapy Assistant | 3980 South Jackson Dr, Independence, MO 64068 | 2014-04-18 |
| 1639593965 | Klein Dental Group LLC | Clinic/Center | 12 Westwoods Dr, Liberty, MO 64068 | 2014-02-06 |
| 1124457239 | Sarah Ehlers, Lcsw LLC | Social Worker | 1170 W Kansas Ave, Bldg 10, Liberty, MO 64068 | 2013-11-08 |
| 1134561558 | Holly Hemphill | Marriage & Family Therapist | 117 N. Water Street, Liberty, MO 64068 | 2013-07-26 |
| 1093157133 | Tina Wilma Sanborn | Marriage & Family Therapist | 1170 W. Kansas St., Liberty, MO 64068 | 2013-07-17 |
| 1609215441 | Timothy Adam Lynch | Marriage & Family Therapist | 1170 West Kansas Ave., Liberty, MO 64068 | 2013-06-14 |
| Find all providers in zip 64068 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316018989 | Comprehensive Foot Centers, P.a. | Podiatrist | 550 Rush Creek Pkwy Ste A, Liberty, MO 64068-9603 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851923023 | Center for Advanced Foot & Ankle Surgery, Inc. | Podiatrist | 3915 Watson Rd Ste 200, Saint Louis, MO 63109-1251 | 2020-02-06 |
| 1518486885 | Sunflower Podiatry and Wellness | Podiatrist | 1316 Hebert Street, Saint Louis, MO 63107 | 2017-09-18 |
| 1144753492 | Creighton Woolsey | Podiatrist | 1155 W Parkview St Ste 2j, Bolivar, MO 65613-8598 | 2017-04-04 |
| 1457701559 | Robert Austin Djali | Podiatrist | 1224 Graham Rd Ste 3010, Florissant, MO 63031-8028 | 2016-06-20 |
| 1770978074 | Shelly Diane Sedberry | Podiatrist | 1801 W 32nd St Bldg C, Joplin, MO 64804 | 2015-04-02 |
| 1376936591 | Corey Bess | Podiatrist | 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 | 2015-03-12 |
| 1093117335 | True Health Integration and Synergy | Podiatrist | 6311 Ronald Reagan Dr, #167, Lake St Louis, MO 63367-2681 | 2014-09-18 |
| 1710305677 | Kevin M Renner | Podiatrist | 225 Physicians Park Ste 102, Poplar Bluff, MO 63901-3918 | 2014-03-28 |
| 1134474554 | Rajan K Patel | Podiatrist | 3930 S Jackson Dr, Apt 308, Independence, MO 64057-1706 | 2012-07-23 |
| 1720346307 | Feet for Life Centers Inc PC | Podiatrist | 17201 Chesterfield Airport Rd, Chesterfield, MO 63005-1423 | 2012-05-02 |
| Find all providers with the same taxonomy | ||||
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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.