ALVAH J NELSON III


Address: 12105 Fairway Dr, Little Rock, AR 72212-3428
Phone: 5012253725

ALVAH J NELSON III (NPI# 1437383726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437383726
Entity Type Individual
Full Name ALVAH J NELSON III
Credential M.D.
Practice Address 12105 Fairway Dr
Little Rock
AR 72212-3428
Practice Telephone 5012253725
Mailing Telephone 5012253725
Enumeration Date 2009-05-14
Last Update Date 2009-05-14
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
R-2246 AR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AR 104653001 05

Office Location

Street Address 12105 FAIRWAY DR
City LITTLE ROCK
State AR
Zip Code 72212-3428

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1366867525 Rustee Danielle Pruitt Counselor 1719 Merrill Drive, Little Rock, AR 72212 2014-02-25
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184011470 Michael Earl May Jr. Radiology 8901 Carti Way Ste 400, Little Rock, AR 72205-6523 2015-04-24
1831509330 Gary D Lewis Radiology 4301 W Markham St # 771, Little Rock, AR 72205-7101 2014-05-06
1871825612 Robert C. Landgren Radiology 37 Pinehurst Cir, Little Rock, AR 72212-3432 2010-02-04
1275793457 Walter Ducote Haynes Radiology 12800 County Farm Road, Little Rock, AR 72223 2008-06-11
1407844236 Donald R Harris Radiology 4 Saint Vincent Cir, Carti- Markham & University, Little Rock, AR 72205-5402 2005-10-06
1578550851 Mark R Storey Radiology Carti-markham & University, #4 St. Vincent Circle, Little Rock, AR 72205 2005-10-03
1376530550 Xiang Gao Radiology Carti--markham & University, #4 St. Vincent Circle, Little Rock, AR 72205 2005-10-03
1649267824 Christopher H Pope Radiology Carti - Markham & University, #4 St. Vincent Circle, Little Rock, AR 72205 2005-10-03
1013903715 Michael L Talbert Radiology Carti Markham & University, Little Rock, AR 72215 2005-09-27
1649266347 Cynthia S Ross Radiology Carti Markham and University, Little Rock, AR 72205 2005-09-27
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City LITTLE ROCK
Zip Code 72212

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Dataset Information

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.

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