DR. DOUGLAS MARTIN NELSON (NPI# 1568442077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568442077 |
Entity Type | Individual |
Full Name | DR. DOUGLAS MARTIN NELSON |
Credential | DPM |
Practice Address |
1326 Peninsula Dr Erie PA 16505-4235 |
Practice Telephone | 8148353338 |
Practice Fax Number | 8148353668 |
Mailing Telephone | 8148353338 |
Mailing Fax Number | 8148353668 |
Enumeration Date | 2006-01-19 |
Last Update Date | 2008-05-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC001726L | PA | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 000863022 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750905881 | Douglas Nelson | Massage Therapist | 407 E Windsor Rd, Champaign, IL 61820-7722 | 2020-06-04 |
1255348637 | Douglas Richard Nelson | Dentist | 3521 Commerce Ct, Appleton, WI 54911-8579 | 2006-08-01 |
1265475958 | Douglas P Nelson | Internal Medicine | 33 W Tamarisk St, Phoenix, AZ 85041-2422 | 2006-06-13 |
1003868787 | Douglas Dirk Nelson | Orthopaedic Surgery | 8735 S Merrion Ln, Hometown, IL 60456-1133 | 2006-05-17 |
1316913056 | Douglas Michael Nelson | Specialist/Technologist | 6200 140th St W, Apple Valley, MN 55124-3328 | 2006-02-23 |
1740261056 | Douglas L. Nelson | Chiropractor | 2721 Nall St, Port Neches, TX 77651-5203 | 2005-11-14 |
1689124216 | Douglas Alan Nelson | Counselor | 5808 Balcones Dr, Suite 101, Austin, TX 78731-4255 | 2016-10-06 |
1356626774 | Douglas Nelson | Pharmacist | 7851 Caton Farm Rd, Plainfield, IL 60586-1601 | 2011-10-17 |
1124333745 | Douglas James Nelson | Dentist | 11919 W. Sprague Ave, Airway Heights, WA 99001-1899 | 2010-08-09 |
1992942619 | Douglas Malcolm Nelson | Counselor | 45 Wadsworth Street, Hartford, CT 06106 | 2009-01-16 |
Street Address |
1326 PENINSULA DR |
City | ERIE |
State | PA |
Zip Code | 16505-4235 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871564492 | West Ten Podiatry Centre, Inc. | Podiatrist | 1326 Peninsula Dr, Erie, PA 16505-4235 | 2006-01-31 |
1609856160 | Chris Lee Nelson | Podiatrist | 1326 Peninsula Dr, Erie, PA 16505-4235 | 2006-01-20 |
1699755124 | Thomas Edward Harrison | Podiatrist | 1326 Peninsula Dr, Erie, PA 16505-4235 | 2006-01-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790275634 | Megan Elizabeth Rahill | Registered Nurse | 610 Seminole Dr, Erie, PA 16505 | 2018-05-16 |
1740784222 | Tracy Zong Cheng | Student in an Organized Health Care Education/Training Program | 1645 W 8th Street, Suite 200, Erie, PA 16505 | 2018-03-20 |
1073067724 | Epeople Health Care Inc | Home Health | 2133 W 8th St, Erie, PA 16505 | 2016-08-11 |
1629424411 | Kimberly Roderick | Registered Nurse | 1324 S. Shore Drive Apt. G07, Erie, PA 16505 | 2016-05-11 |
1437516432 | April Vogeley | Counselor | 1004 Farrell Road, Erie, PA 16505 | 2016-01-21 |
1538563499 | Laurence William Veihdeffer | Dentist | 2021 W 8 St., Erie, PA 16505 | 2014-10-21 |
1255617908 | Shannon Renee Luke | Licensed Practical Nurse | 1416 Custer Dr., Erie, PA 16505 | 2011-10-26 |
1699904227 | William Jackson Koehler | Social Worker | 2230 W 8th St Ste 2, Erie, PA 16505 | 2009-07-02 |
1972747657 | Kristen Marie Huber | Counselor | 823 Filmore Ave, Erie, PA 16505 | 2009-04-27 |
1851556351 | Stephanie Lynn Miller | Technician, Other | 2564 West 12th St., Erie, PA 16505 | 2008-07-23 |
Find all providers in zip 16505 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104331461 | Saint Vincent Medical Education and Research Inst. Inc. | Podiatrist | 5473 Village Common Dr Ste 202, Erie, PA 16506-4961 | 2017-12-08 |
1548782907 | Michael Wayne Hankins Jr. | Podiatrist | 5515 Peach Street, Erie, PA 16502 | 2017-07-07 |
1396981494 | Foot & Ankle Innovations, P.C. | Podiatrist | 2960 Persimmon Dr, Erie, PA 16509-8042 | 2008-12-21 |
1114105210 | Ankle and Foot Clinic of Erie PC | Podiatrist | 3737 W 26th St, Erie, PA 16506-2038 | 2008-01-31 |
1922164409 | Lake Erie Podiatry, LLC | Podiatrist | 3910 Caughey Rd Ste 130, Erie, PA 16506 | 2006-12-28 |
1407881162 | Joseph M Difranco | Podiatrist | 145 W 23rd St Ste 302a, Erie, PA 16502-2858 | 2006-07-11 |
1730146150 | Brian E Mussett | Podiatrist | 3737 West 26th Street, Erie, PA 16506 | 2006-04-28 |
1255395224 | Daniel J Olson | Podiatrist | 3850 Walker Blvd, Erie, PA 16509-1627 | 2006-04-14 |
1891798435 | Jay C Moritz | Podiatrist | 3330 Peach St Ste 107, Erie, PA 16508-2771 | 2005-05-27 |
1538787221 | Lex Herwen Barte I | Podiatrist | 5515 Peach St, Erie, PA 16509-2603 | 2020-07-08 |
Find all providers in ERIE |
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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.