DR. DALLAS LEE NELSON (NPI# 1598718314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598718314 |
| Entity Type | Individual |
| Full Name | DR. DALLAS LEE NELSON |
| Credential | M.D. |
| Practice Address |
1000 South Ave Box 58 Rochester NY 14620-2733 |
| Mailing Address |
76 Benton St Rochester NY 14620-2323 |
| Practice Telephone | 5853410255 |
| Mailing Telephone | 5852429399 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2012-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 223415 | NY | Allopathic & Osteopathic Physicians |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
223415 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | PREFERRED CARE | 1391568J | 01 |
| NY | 025343361 | 05 | |
| NY | BLUE CHOICE | P010223415 | 01 |
| NY | BLUE SHIELD | P020223415 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679911283 | Dallas Michelle Nelson | Occupational Therapist | 16428 E Kingstree Blvd, Fountain Hills, AZ 85268-5440 | 2013-06-06 |
| 1093855165 | Dallas Kent Nelson | Chiropractor | 226 Main St, Dillingham, AK 99576-0741 | 2007-02-07 |
| Street Address |
1000 SOUTH AVE BOX 58 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14620-2733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033113618 | Tulsi Dass | Specialist | 1000 South Ave, # 95, Rochester, NY 14620-2733 | 2005-06-10 |
| 1285234088 | David Boguta | Physician Assistant | 1000 South Ave, Rochester, NY 14620-2733 | 2020-10-29 |
| 1285233643 | Autumn Hope Smith | Internal Medicine | 1000 South Ave, Rochester, NY 14620-2733 | 2020-10-18 |
| 1528665841 | Zachary Lamb | Nurse Practitioner | 1000 South Ave, Rochester, NY 14620-2733 | 2020-10-08 |
| 1245853134 | Travis John Lawrence | Nurse Practitioner | 1000 South Ave, Rochester, NY 14620-2733 | 2020-05-26 |
| 1962035790 | James Spencer Caal | Physical Therapist | 1000 South Ave, Rochester, NY 14620-2733 | 2020-02-20 |
| 1417580994 | Sarah Jean Jones | Occupational Therapist | 1000 South Ave, Rochester, NY 14620-2733 | 2020-02-12 |
| 1346872371 | Ellen Hufziger | Occupational Therapist | 1000 South Ave, Rochester, NY 14620-2733 | 2020-02-07 |
| 1568093169 | Tricia Blanchard | Physical Therapist | 1000 South Ave, Rochester, NY 14620-2782 | 2020-02-01 |
| 1902437858 | Aubrie Anna Macikowski | Physical Therapist | 1000 South Ave, Rochester, NY 14620-2733 | 2020-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974174 | Linda D Pratt | Speech-Language Pathologist | Rochester Hearing and Speech Center, 1000 Elmwood Ave Suite 400, Rochester, NY 14620 | 2020-02-20 |
| 1609417617 | Maisie Katherine Pipher | Physician Assistant | 110 Crittenden Blvd, Rochester, NY 14620 | 2019-10-01 |
| 1215592332 | Allison Mckeown | Student in an Organized Health Care Education/Training Program | 777 S. Clinton Avenue - Box Hh 37, Rochester, Ny 14620, Box Hh 37, Rochester, NY 14620 | 2019-05-03 |
| 1114495736 | Tabitha Domonique Griffin | Licensed Practical Nurse | 55 Forthill Terrace, Rochester, NY 14620 | 2018-11-13 |
| 1700371960 | Deborah Paul | Dermatology | 40 Celebration Dr # 697, Rochester, NY 14620 | 2018-06-28 |
| 1942725791 | Emily Catone | Nurse Practitioner | 252 Cobb Terrace, Rochester, NY 14620 | 2017-08-12 |
| 1104355593 | Acacia Palmer | Counselor | 150 Mount Hope Avenue, Rochester, NY 14620 | 2017-06-08 |
| 1750818803 | Meagan Michelle Goates | Student in an Organized Health Care Education/Training Program | 150 Crittenden Blvd, Rochester, NY 14620 | 2017-05-20 |
| 1386170470 | Kendall Battle | Licensed Practical Nurse | 479 South Ave Apt B, Rochester, NY 14620 | 2017-05-10 |
| 1285167700 | Gina Josette Kuehn | Student in an Organized Health Care Education/Training Program | 40 Celebration Dr # 278733, Rochester, NY 14620 | 2017-04-11 |
| Find all providers in zip 14620 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326694225 | Henry John James Ess Iv Do Pllc | Internal Medicine | 309 Exchange Blvd Ste A, Rochester, NY 14608-2708 | 2019-08-15 |
| 1588180087 | Shelby Jo Lee | Internal Medicine | 2561 Lac De Ville Blvd Ste 100, Rochester, NY 14618-5645 | 2017-08-16 |
| 1598294704 | Ayad Sadda | Internal Medicine | 1425 Portland Ave Ste 287, Rochester, NY 14621-3011 | 2017-06-09 |
| 1184150567 | Kayla Leonard Correia-staudt | Internal Medicine | 959 Panorama Trl S Ste 100, Rochester, NY 14625-2311 | 2017-05-04 |
| 1912438342 | William J. Brorein, Jr., M.d., Ph.d. | Internal Medicine | 2237 Clinton Ave S, Rochester, NY 14618-2623 | 2017-03-27 |
| 1871944520 | Kayleigh Punch | Internal Medicine | 2655 Ridgeway Ave Ste 480, Rochester, NY 14626-4296 | 2016-06-23 |
| 1003260837 | Natalia Golub | Internal Medicine | 30 Hagen Dr Ste 320, Rochester, NY 14625 | 2016-04-18 |
| 1699161018 | Gregory Rosic | Internal Medicine | 6 Healthcare Dr Ste 2, Rochester, NH 03867-4499 | 2015-04-13 |
| 1437543097 | Kathleen Skye Kemp | Internal Medicine | 2400 S Clinton Ave Ste G2, Rochester, NY 14618 | 2015-03-22 |
| 1386086957 | Robert M Kerper Md, Pllc | Internal Medicine | 26 South Goodman Street, Rochester, NY 14607 | 2013-07-24 |
| Find all providers in ROCHESTER | ||||
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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.