DR. MICHAEL JOHN NELSON (NPI# 1528026051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528026051 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JOHN NELSON |
| Credential | M.D. |
| Practice Address |
501 Se 172nd Ave Ste 220 Vancouver WA 98684-9542 |
| Mailing Address |
700 Ne 87th Ave Vancouver WA 98664-1913 |
| Practice Telephone | 3608822778 |
| Practice Fax Number | 3606041734 |
| Mailing Telephone | 3608822778 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
00039405 | WA | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
A78283 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2038611 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 585 W Lookout Ridge Dr, Washougal, WA 986717595 | 9252999022 | 9252999024 |
| 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 |
501 SE 172ND AVE STE 220 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98684-9542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740833656 | Briana Harmony Witteveen | Nurse Practitioner | 501 Se 172nd Ave Ste 220, Vancouver, WA 98684-9542 | 2019-07-19 |
| 1043768377 | Jasdeep Singh Sandhu | Physician Assistant | 501 Se 172nd Ave Ste 220, Vancouver, WA 98684-9542 | 2016-09-15 |
| 1114260023 | Ross Edward Smith | Psychiatry & Neurology | 501 Se 172nd Ave Ste 220, Vancouver, WA 98684-9542 | 2013-03-28 |
| 1508114232 | Victor Tseng | Psychiatry & Neurology | 501 Se 172nd Ave Ste 220, Vancouver, WA 98684-9542 | 2012-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285291849 | Pacifica Sylvan Park LLC | Alzheimer Center (Dementia Center) | 2400 Ne 112th Avenue, Vancouver, WA 98684 | 2019-05-20 |
| 1699242826 | Heidi Ericka Jackson | Registered Nurse | 15606 Ne 12th Way, Vancouver, WA 98684 | 2018-10-25 |
| 1477076727 | Brian Benasa Bardeloza | Dentist | 605 Se 164th Ave Ste 103, Vancouver, WA 98684 | 2017-07-19 |
| 1992226062 | Judith Moreno-castro | Massage Therapist | 2501 Ne 138th Ave., #60, Vancouver, WA 98684 | 2017-06-29 |
| 1346790706 | Samuel Joonsang Lee | Registered Nurse | 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 | 2016-10-10 |
| 1912353178 | Cheryl A. Hamilton-jefferson | Counselor | 11818 Se Mill Plain Blvd Ste 311g, Vancouver, WA 98684 | 2016-05-06 |
| 1063866424 | Kim Forgione | Optometrist | 1900 Ne 162nd Ave Ste D103, Vancouver, WA 98684 | 2016-04-21 |
| 1700254257 | Desiree Haggart | Registered Nurse | 406 Se 131st St., Suite A101, Vancouver, WA 98684 | 2015-09-14 |
| 1215318068 | Paige M. King | Behavioral Analyst | 11818 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684 | 2015-06-17 |
| 1417354366 | Amanda Hilkey, Lmp | Massage Therapist | 108 Se 24th Ave, Ste 9, Vancouver, WA 98684 | 2014-11-20 |
| Find all providers in zip 98684 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326381500 | Jill Kaspar Baird | Psychiatry & Neurology | 2121 Ne 139th St Ste 205, Vancouver, WA 98686-2316 | 2013-04-05 |
| 1174898381 | Joseph David Nickolas Freeburg | Psychiatry & Neurology | 2211 Ne 139th St Ste 3e120, Vancouver, WA 98686-2742 | 2012-03-21 |
| 1215218102 | Timberline Rehabilitation Services, Ps | Psychiatry & Neurology | 920 Ne 112th Avenue, Suite 103, Vancouver, WA 98684-5104 | 2011-09-06 |
| 1003921784 | Marketa Van Den Elzen | Psychiatry & Neurology | 2102-1199 Mainaside Cres., Vancouver, BC V6Z2Y2 | 2006-08-20 |
| 1437191996 | Victor M Erlich | Psychiatry & Neurology | 505 Ne 87th Ave Ste 460, Vancouver, WA 98664-1965 | 2006-06-11 |
| 1316935752 | Cathleen J Miller | Psychiatry & Neurology | 2211 E Mill Plain Blvd, Kaiser Permanente Vancouver Medical Office, Vancouver, WA 98661-4329 | 2005-10-10 |
| 1063894541 | Kwo Wei David Ho | Psychiatry & Neurology | 505 Ne 87th Ave Ste 460, Vancouver, WA 98664-1965 | 2015-06-22 |
| 1225423064 | Shereen Lee Seyal | Psychiatry & Neurology | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2015-03-30 |
| 1336543560 | Providence Health & Services - Oregon | Psychiatry & Neurology | 315 Se Stonemill Dr, Suite 220, Vancouver, WA 98684-6987 | 2014-10-17 |
| 1962834796 | Jaesung Kim | Psychiatry & Neurology | 505 Ne 87th Ave Ste 460, Vancouver, WA 98664-1965 | 2013-08-02 |
| Find all providers in VANCOUVER | ||||
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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.