DAVID B NIELSEN (NPI# 1649383027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649383027 |
| Entity Type | Individual |
| Full Name | DAVID B NIELSEN |
| Credential | M.D. |
| Practice Address |
1055 N 300 W Ste 104 Provo UT 84604-3344 |
| Mailing Address |
Po Box 837 Corvallis OR 97339-0837 |
| Practice Telephone | 8012256246 |
| Practice Fax Number | 8012251525 |
| Mailing Telephone | 5417585047 |
| Mailing Fax Number | 5417583713 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
11765834-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
2008036902 | MO | Allopathic & Osteopathic Physicians |
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
04-33446 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 1649383027 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1034 N 500 W, Provo, UT 846043380 | 8013577056 | 8013577626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851410716 | David H Nielsen | Emergency Medicine | 17 Stagecoach Rd, Amherst, MA 01002-3527 | 2007-03-29 |
| 1285659367 | David A Nielsen | Optometrist | 1641 N Alpine Rd, Suite 205, Rockford, IL 61107-1458 | 2006-07-12 |
| 1922576842 | David Nielsen | Counselor | 1701 18th Ave S, Seattle, WA 98144-4317 | 2018-11-08 |
| 1386129963 | David Matthew Nielsen | Counselor | 9938 Airline Hwy, Baton Rouge, LA 70816-8193 | 2018-09-28 |
| 1639513773 | David Eugene Nielsen | Anesthesiology | 4838 E Baseline Rd Ste 108, Mesa, AZ 85206-4672 | 2013-04-19 |
| 1386816635 | David Nielsen | Technician, Other | 474 W 200 N, St George, UT 84770-4505 | 2008-03-27 |
| 1669544771 | David M Nielsen | Psychologist | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2006-11-14 |
| 1134210867 | David Nielsen | Physical Therapist | 505 W Hollis St Ste 104, Nashua, NH 03062-1386 | 2006-09-27 |
| 1821048364 | David C Nielsen | Internal Medicine | 4840 N Cloverdale Rd, Boise, ID 83713-2423 | 2006-05-12 |
| 1922080498 | David Alan Nielsen | Orthopaedic Surgery | 183 Spotnap Rd, Suite C, Charlottesville, VA 22911-8812 | 2005-11-18 |
| Street Address |
1055 N 300 W STE 104 |
| City | PROVO |
| State | UT |
| Zip Code | 84604-3344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063439495 | Newton B Bryson | Social Worker | 1055 N 300 W Ste 104, Provo, UT 84604-3381 | 2006-07-15 |
| 1316044381 | W Jason Conover | Social Worker | 1055 N 300 W Ste 104, Provo, UT 84604-3381 | 2006-09-20 |
| 1700806890 | Dan J Daley | Psychologist | 1055 N 300 W Ste 104, Provo, UT 84604-3381 | 2006-07-20 |
| 1033136460 | Cheryl S Cozzens | Social Worker | 1055 N 300 W Ste 104, Provo, UT 84604-3381 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 2085P0229X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Pediatric Radiology |
| A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. |
| 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 |
|---|---|---|---|---|
| 1407182835 | Orthoppedic Practice Associates | Radiology | 3773 W 126000 S, Riverton, UT 84065-1234 | 2009-10-20 |
| 1720198716 | William D. Winters | Radiology | 100 No Mario Capecchi Dr., Salt Lake City, UT 84113 | 2006-08-30 |
| 1215940465 | Karin L. Hoeg | Radiology | 100 No. Mario Capecchi Dr., Salt Lake City, UT 84113 | 2006-08-15 |
| 1811940166 | Joshua Q Knowlton | Radiology | 560 W 800 N, Orem, UT 84057-3746 | 2006-05-18 |
| 1053664680 | Ihc Health Services Inc | Radiology | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2012-10-19 |
| 1730394131 | Ryan W. Arnold | Radiology | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2007-05-11 |
| 1083739270 | Henry J Baskin Jr. | Radiology | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2007-03-20 |
| 1609901610 | Mark Douglas Ebert | Radiology | 5444 S. Green St., Murray, UT 84123-5632 | 2007-02-22 |
| 1790875300 | Kathleen Ann Murray | Radiology | Fairfax Road At Virginia Street, Shriners Hosptials for Children, Salt Lake City, UT 84103-4399 | 2006-10-13 |
| 1447351978 | Giosue Peter Feola | Radiology | 100 N Medical Dr, Salt Lake City, UT 84113-1103 | 2006-09-26 |
| Find all providers with the same taxonomy | ||||
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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.