JARED WILLIAM NELSON (NPI# 1528034980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528034980 |
| Entity Type | Individual |
| Full Name | JARED WILLIAM NELSON |
| Credential | MD |
| Practice Address |
701 Hospital Loop 92 Medical Group Fairchild Air Force Base WA 99011 |
| Mailing Address |
701 Hospital Loop 92 Medical Operations Squadron/sgop Fairchild Afb WA 99011 |
| Practice Telephone | 5092475661 |
| Practice Fax Number | 5092479524 |
| Mailing Telephone | 5092475661 |
| Mailing Fax Number | 5092479524 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2016-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD17089 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 287973 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104552 | Jared Carter Nelson | Counselor | 1334 Post Ave, Torrance, CA 90501-2620 | 2020-11-02 |
| 1366902231 | Jared Nelson | Counselor | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2019-03-25 |
| 1376032383 | Jared Daune Nelson | Counselor | 7455 Arroyo Crossing Pkwy Ste 220, Las Vegas, NV 89113-4088 | 2018-05-04 |
| 1104321876 | Jared Nelson | Chiropractor | 10204 Garland Rd, Dallas, TX 75218-2921 | 2018-03-26 |
| 1780034363 | Jared R Nelson | Internal Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2016-06-15 |
| 1518304435 | Jared Nelson | Optometrist | 1651 W Rose St, Walla Walla, WA 99362-1689 | 2013-06-01 |
| 1295091791 | Jared Michael Nelson | Psychiatry & Neurology | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2012-04-09 |
| 1235455056 | Jared Wynn Nelson | Radiology | 2769 Heartland Drive, Suite 105, Coralville, IA 52241 | 2010-04-19 |
| Street Address |
701 HOSPITAL LOOP 92 MEDICAL GROUP |
| City | FAIRCHILD AIR FORCE BASE |
| State | WA |
| Zip Code | 99011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912907692 | Mary Zachariah-kurian | Pediatrics | 701 Hospital Loop, Fhc, Fairchild Air Force Base, WA 99011-8704 | 2005-07-26 |
| 1437687803 | Boone Robinson Parkinson | General Practice | 701 Hospital Loop, Fairchild Air Force Base, WA 99011-8704 | 2017-05-31 |
| 1881829802 | Victoria F Querido | Military Health Care Provider | 701 Hospital Loop, Fairchild Air Force Base, WA 99011-8704 | 2009-05-19 |
| 1316171549 | Joshua Karstan Pattee | Military Health Care Provider | 701 Hospital Loop, Fairchild Air Force Base, WA 99011-8704 | 2009-05-01 |
| 1053551499 | Mai Lien Pham | Internal Medicine | 701 Hospital Loop, Fairchild Air Force Base, WA 99011-8704 | 2009-02-25 |
| 1659533990 | Sayf R Munir | Family Medicine | 701 Hospital Loop, Suite 350, Fairchild Air Force Base, WA 99011-8704 | 2008-06-27 |
| 1548451412 | Paula Michelle Clark | Social Worker | 701 Hospital Loop, Fairchild Air Force Base, WA 99011-8704 | 2007-08-06 |
| 1063554582 | Paula Jo Neemann | Registered Nurse | 701 Hospital Loop, Fairchild Air Force Base, WA 99011-8704 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669939732 | Ruth Ann Sunde | Social Worker | 92d Medical Group/sgow, 701 Hospital Loop, Suite 259, Fairchild Afb, WA 99011 | 2019-02-26 |
| 1164992491 | Michael Thomas Stevens | Military Health Care Provider | 100 Hospital Loop, Fairchild Afb, WA 99011 | 2018-11-29 |
| 1174032569 | Elizabeth Andrews | Registered Nurse | 400 W Fairchild Highway, Fairchild Afb, WA 99011 | 2017-09-28 |
| 1770031171 | Mariah Combs | Behavioral Analyst | 5298 B Sycamore Street, Fairchild Afb, WA 99011 | 2016-09-14 |
| 1770960957 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 101 W. Spaatz Rd., Bldg 2465, Fairchild Afb, WA 99011 | 2015-04-27 |
| 1306191689 | Patricia Kaye Catrow | Family Medicine | 701 Hospital Loop Bldg 9000, Fairchild Afb, WA 99011 | 2012-07-23 |
| 1205102761 | 92nd Medical Group | Military/U.S. Coast Guard Pharmacy | 103 Saatz Rd, Fairchild Afb, WA 99011 | 2012-03-29 |
| 1992078554 | Alyssa Marie Degeyter | Community Health Worker | 7272 A Nebraska Ave, Fairchild Air Force Base, WA 99011 | 2012-02-13 |
| 1730317728 | Nicholas James Graham | Military Health Care Provider | 2504 S.chicago St, Fairchild Afb, WA 99011 | 2009-06-29 |
| 1922232099 | Pocco S Bussey | Military Health Care Provider | 92 Medical Group, Flight Medicine Clinic, Fairchild, WA 99011 | 2009-05-05 |
| Find all providers in zip 99011 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659533990 | Sayf R Munir | Family Medicine | 701 Hospital Loop, Suite 350, Fairchild Air Force Base, WA 99011-8704 | 2008-06-27 |
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|---|---|---|---|---|
| 1063010957 | Olympic Medical Pllc | Family Medicine | 6342 Littlerock Rd Sw Bldg 3, Tumwater, WA 98512-7332 | 2020-10-13 |
| 1124631296 | Direct Care Clinics Us PC | Family Medicine | 2307 Se 3rd Circle, Suite 203, Vancouver, WA 98661-9860 | 2020-08-28 |
| 1851902605 | Northwest Clinical Services | Family Medicine | 825 Se Bishop Blvd Ste 301c, Pullman, WA 99163-5517 | 2020-08-14 |
| 1003424128 | Kelly P Grenner | Family Medicine | 15424 Ne 160th St, Woodinville, WA 98072-8180 | 2020-07-14 |
| 1851919476 | Thuthi Enterprises, LLC | Family Medicine | 715 N Park Ctr # A, Selah, WA 98942-1174 | 2020-07-09 |
| 1851917074 | Kaiser Foundation Health Plan of Washington | Family Medicine | 5216 Point Fosdick Dr # 102, Gig Harbor, WA 98335-0037 | 2020-06-23 |
| 1245856830 | Jackie C Toh | Family Medicine | 13684 18th Ave Sw, Burien, WA 98166-1047 | 2020-06-19 |
| 1669097127 | Dawnmd LLC | Family Medicine | 540 E Main St Ste A, Pullman, WA 99163-2660 | 2020-06-10 |
| 1427672310 | Andrea Lauren Cistulli | Family Medicine | 3619 Talbot Rd S Ste 401, Renton, WA 98055-5708 | 2020-06-05 |
| 1114540457 | Country Doctor Community Clinic | Family Medicine | 2410 E Cherry St, Seattle, WA 98122-4832 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
| City | FAIRCHILD AIR FORCE BASE |
| Zip Code | 99011 |
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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.