GARY NELSON (NPI# 1447273552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447273552 |
| Entity Type | Individual |
| Full Name | GARY NELSON |
| Credential | DPM |
| Practice Address |
5150 Journal Center Blvd Ne Fl 2 Albuquerque NM 87109-5900 |
| Mailing Address |
Po Box 26028 Albuquerque NM 87125-6028 |
| Practice Telephone | 5052321530 |
| Practice Fax Number | 5052623380 |
| Mailing Telephone | 5052627963 |
| Mailing Fax Number | 5052321627 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2018-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 159 | NM | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 54460 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083088868 | Gary Nelson | Counselor | 8008 Route 130 Bldg A, Ste 206, Delran, NJ 08075-1869 | 2015-11-17 |
| 1255536454 | Gary Nelson | Counselor | Rr 3 Box 1230, Wilburton, OK 74578-9523 | 2007-06-18 |
| 1619090834 | Gary L Nelson | Counselor | 14301 County Highway B, Sparta, WI 54656-4509 | 2007-04-10 |
| 1558423384 | Gary Lee Nelson | Dentist | 274 Delaware Avenue, Delmar, NY 12054 | 2006-12-15 |
| 1033277629 | Gary H Nelson | Technician/Technologist | 707 Fairmount Ave, Suite 11, Jamestown, NY 14701-2623 | 2006-12-05 |
| 1700954518 | Gary J Nelson | Dentist | 3350 S 15th E, Idaho Falls, ID 83404-8321 | 2006-12-01 |
| 1144327396 | Gary G Nelson | Specialist/Technologist | 2580 Mccrays Mill Rd, Sumter, SC 29154-6028 | 2006-09-20 |
| 1629035795 | Gary E Nelson | Physician Assistant | 150 E Center St, Suite 1100, Provo, UT 84606-3106 | 2006-05-01 |
| 1245209634 | Gary Robert Nelson | Family Medicine | 3320 N Benzing Rd, Orchard Park, NY 14127-1538 | 2006-03-16 |
| 1396290201 | Gary Edwin Nelson | Pharmacist | 1700 Ne 102nd Ave, Portland, OR 97220-3804 | 2016-08-20 |
| Street Address |
5150 JOURNAL CENTER BLVD NE FL 2 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-5900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407850340 | Jeffrey P Beckenbaugh | Orthopaedic Surgery | 5150 Journal Center Blvd Ne Fl 2, Albuquerque, NM 87109-5900 | 2005-06-09 |
| 1083197032 | Davita Medical Group New Mexico, LLC | Durable Medical Equipment & Medical Supplies | 5150 Journal Center Blvd Ne Fl 2, Albuquerque, NM 87109-5900 | 2018-09-14 |
| 1174025191 | Optumcare New Mexico, LLC | Durable Medical Equipment & Medical Supplies | 5150 Journal Center Blvd Ne Fl 2, Albuquerque, NM 87109-5900 | 2018-03-06 |
| 1548513716 | Lisa Marie Taylor | Nurse Practitioner | 5150 Journal Center Blvd Ne Fl 2, Albuquerque, NM 87109-5900 | 2012-10-24 |
| 1679584684 | Kathy Jean O'connor | Internal Medicine | 5150 Journal Center Blvd Ne Fl 2, Albuquerque, NM 87109-5900 | 2006-08-11 |
| 1457374555 | William Charles Syme | Surgery | 5150 Journal Center Blvd Ne Fl 2, Albuquerque, NM 87109-5900 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437536786 | Daniel L. Peterson | Podiatrist | 4401 Coors Blvd Sw Ste A, Albuquerque, NM 87121-6460 | 2015-05-06 |
| 1699060202 | Juan Tabo Foot Health Center, PC | Podiatrist | 1925 Juan Tabo Blvd Ne, Suite D, Albuquerque, NM 87112-3366 | 2011-06-10 |
| 1891954657 | Theodore L Varoz Dpm | Podiatrist | 1204 Candelaria Rd Nw, Albuquerque, NM 87107-2766 | 2008-06-06 |
| 1922219203 | Albuquerque Associated Podiatrists | Podiatrist | 121 Sycamore St Ne, Albuquerque, NM 87106-4622 | 2007-05-25 |
| 1528128352 | Faith Carin Shapiro | Podiatrist | 1903 Wyoming Blvd Ne, Suite C, Albuquerque, NM 87112-2821 | 2006-12-11 |
| 1023124203 | Andy Ngoc Ho | Podiatrist | 6727 Academy Rd Ne Ste C, Albuquerque, NM 87109-3369 | 2006-08-21 |
| 1295746857 | Gary D Prant | Podiatrist | 7700 Menaul Blvd Ne Ste D, Albuquerque, NM 87110-4639 | 2006-08-10 |
| 1144230061 | Nathan D Ivey | Podiatrist | 4343 Pan American Fwy Ne Ste 234, Albuquerque, NM 87107 | 2006-08-09 |
| 1205845823 | Benjamin J Hockin | Podiatrist | 8019 Lava Reach Ave Nw Ste A, Albuquerque, NM 87120-6531 | 2006-08-05 |
| 1497769947 | Richard A Weinstein I | Podiatrist | 1925-d Juan Tabo Ne, Albuquerque, NM 87112 | 2006-07-28 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
Please comment or provide details below to improve the information on GARY 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.