DR. TINA NELSON (NPI# 1639182322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639182322 |
| Entity Type | Individual |
| Full Name | DR. TINA NELSON |
| Credential | MD |
| Practice Address |
1 Medical Center Dr Lebanon NH 03756-1000 |
| Mailing Address |
Po Box 224 Spofford NH 03462-0224 |
| Practice Telephone | 6036504477 |
| Practice Fax Number | 6036505455 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
10541 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30200179 | 05 | |
| VT | 0RE5264 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336758911 | Tina Nelson | Technician | 218 3rd St, Elkins, WV 26241-3833 | 2020-07-29 |
| 1790119477 | Tina Nelson | Contractor | 205 Graham St, Montevallo, AL 35115-4171 | 2013-08-29 |
| 1265871016 | Tina Nelson | Licensed Practical Nurse | 60a Harbor Loop, Staten Island, NY 10303-1873 | 2013-06-14 |
| 1053457853 | Tina D Nelson | Social Worker | Uss Kearsarge Lhd 3, Fpo, AE 09534 | 2007-01-29 |
| 1962851709 | Tina Nelson | Social Worker | 114 W Delaware Ave, Nowata, OK 74048-2601 | 2016-06-10 |
| 1366574014 | Tina Marie Nelson | Occupational Therapy Assistant | 350 W Sahuarita Rd, Sahuarita, AZ 85629-9000 | 2007-03-09 |
| 1831167428 | Tina Maria Nelson | Social Worker | 340 Magnolia Cir, Tyndall A F B, FL 32403-5604 | 2006-03-09 |
| Street Address |
1 MEDICAL CENTER DR |
| City | LEBANON |
| State | NH |
| Zip Code | 03756-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473917 | Lynda Lee Lapan | Obstetrics & Gynecology | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2020-10-08 |
| 1114534708 | Dartmouth-hitchcock Clinic | Clinical Medical Laboratory | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2020-09-28 |
| 1275149858 | Makenzie Welch | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2020-09-19 |
| 1598378424 | Kelcy Henrique | Pharmacist | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2020-08-29 |
| 1164034088 | Kris Douglas Halliwell | Nurse Practitioner | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2020-08-21 |
| 1275145104 | Nicole Faye Hoshiko | Dietitian, Registered | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2020-08-21 |
| 1609486703 | Melanie Lynn Del Frari | Nurse Practitioner | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2020-08-04 |
| 1346858263 | Chelsea A Jarosz | Physician Assistant | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2020-07-16 |
| 1932717170 | Sydney Allen | Registered Nurse | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2020-07-14 |
| 1033737143 | Matthew David Thomson | Registered Nurse | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2020-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790277796 | Sindri Aron Viktorsson | Student in an Organized Health Care Education/Training Program | Dartmouth- Hitchcock Medical Center, One Medical Center Dr, Lebanon, NH 03756 | 2018-06-05 |
| 1376078501 | Robert G.p. Murray | Student in an Organized Health Care Education/Training Program | One Medical Center Drive, Pediatric Residency Program, Children's Hospital At Dartmouth-hitchcock, Dartmouth H, Lebanon, NH 03756 | 2017-04-25 |
| 1063946242 | Keira Kilmartin | Student in an Organized Health Care Education/Training Program | One Medical Centre Drive, Pediatric Residency Program, Lebanon, NH 03756 | 2017-04-14 |
| 1194120691 | Clearchoicemd | Clinic/Center | 422 Miracle Mile Rd, Lebanon, NH 03756 | 2014-10-27 |
| 1629380159 | Rattanaporn Mahatanan | Internal Medicine | One Meical Center Drive, Dhmc Infectious Disease Department, Lebanon, NH 03756 | 2010-07-13 |
| 1780803833 | Kenneth W Travis | Anesthesiology | Darmouth Hitchock Med Ct, One Medical Ctre Drive, Lebanon, NH 03756 | 2007-04-25 |
| 1295950657 | Jillian R Ozmore | Genetic Counselor, MS | Dartmouth Hitchcock, One Medical Center Drive, Lebanon, NH 03756 | 2007-04-13 |
| 1609961119 | Athos John Rassias | Anesthesiology | Critical Care Medicine 1 Medical Center Drive, Dhmc, Lebanon, NH 03756 | 2006-10-03 |
| 1679592067 | Martha J Allen | Physician Assistant | Dartmouth Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, NH 03756 | 2006-07-18 |
| 1194765768 | Joseph Livin Perras II | Internal Medicine | Dartmouth-hitchcock Clinic, 1 Medical Center Dr, Lebanon, NH 03756 | 2006-06-08 |
| Find all providers in zip 03756 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114551132 | Lebanon Pet Scan Center, LLC | Radiology | 103 Physicians Way Ste 100, Lebanon, TN 37090-4129 | 2020-02-28 |
| 1417319161 | Joseph Martin Clark | Radiology | 16 E High St, Lebanon, PA 17042-5454 | 2016-03-22 |
| 1902900061 | Susan B Humphreys Md PC | Radiology | Carroll & Tate Streets, Lebanon, VA 24266 | 2006-09-11 |
| 1467499079 | Philip Dennison Stieg | Radiology | Fourth & Walnut Streets, Radiology Department, Lebanon, PA 17042-1281 | 2006-06-01 |
| 1285689513 | Vision Imaging of Lebanon LLC | Radiology | 805 Helen Dr, Lebanon, PA 17042-7493 | 2006-05-24 |
| 1902876352 | Radiology & Nuclear Medicine Associates | Radiology | 1411 W Baddour Pkwy, Lebanon, TN 37087-2513 | 2006-01-26 |
| 1669469532 | Daniel William Hottenstein | Radiology | 231 Valley Rd, Lebanon, PA 17042-8930 | 2005-10-05 |
| 1811998073 | Susan Barrow Humphreys | Radiology | Carroll & Tate Sts, Box 3600, Lebanon, VA 24266 | 2005-08-09 |
| 1346246436 | Lebanon Diagnostic Imaging, LLC | Radiology | 960 Isabel Dr, Lebanon, PA 17042-7482 | 2005-06-23 |
| 1386175859 | Joshua Harris Litchman | Radiology | 1 Medical Dr, Lebanon, NH 03756 | 2017-03-25 |
| Find all providers in LEBANON | ||||
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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.