DR. NIELS FREDERIK PEDERSEN (NPI# 1740251537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740251537 |
| Entity Type | Individual |
| Full Name | DR. NIELS FREDERIK PEDERSEN |
| Credential | MD |
| Practice Address |
2020 Capitol St Ne Salem Clinic PC Salem OR 97301-0644 |
| Mailing Address |
Po Box 8100 Salem OR 97303 |
| Practice Telephone | 5033992424 |
| Practice Fax Number | 5033757451 |
| Mailing Telephone | 5033992424 |
| Mailing Fax Number | 5033757451 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2012-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD26800 | OR | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | L1163 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 240514 | 05 | |
| TX | 141304903 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841518347 | Niels Jonathan Pedersen | Chiropractor | 7555 E Hampden Ave, Suite 420, Denver, CO 80231-4830 | 2010-05-07 |
| Street Address |
2020 CAPITOL ST NE SALEM CLINIC PC |
| City | SALEM |
| State | OR |
| Zip Code | 97301-0644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114913431 | Robert Jack Harder | Obstetrics & Gynecology | 2020 Capitol St Ne, Salem, OR 97301-0644 | 2005-09-22 |
| 1831686583 | Rachel Iris Bailey | Health Educator | 2020 Capitol St Ne, Salem, OR 97301-0644 | 2018-04-18 |
| 1225401920 | William Seibt | Physician Assistant | 2020 Capitol St Ne, Salem, OR 97301-0644 | 2015-11-04 |
| 1841676335 | Robyn Edwards | Social Worker | 2020 Capitol St Ne, Salem, OR 97301-0644 | 2015-08-06 |
| 1871980680 | Brittany Vanraaphorst | Family Medicine | 2020 Capitol St Ne, Salem, OR 97301-0644 | 2015-04-20 |
| 1902298052 | Kalyn Jennifer English | Internal Medicine | 2020 Capitol St Ne, Salem, OR 97301-0698 | 2015-02-26 |
| 1972913275 | Stephanie Navaja | Nurse Practitioner | 2020 Capitol St Ne, Salem, OR 97301-0644 | 2014-05-07 |
| 1326473133 | Shahab Akbari | Family Medicine | 2020 Capitol St Ne, Salem, OR 97301-0644 | 2013-09-11 |
| 1467886663 | Annette E Whitney | Internal Medicine | 2020 Capitol St Ne, Salem, OR 97301-0644 | 2013-08-25 |
| 1659718435 | Sarah N Webber | Internal Medicine | 2020 Capitol St Ne, Salem, OR 97301-0644 | 2013-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| 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 |
|---|---|---|---|---|
| 1710373444 | Larry Bassinger | Family Medicine | 1300 Broadway St Ne Ste 104, Salem, OR 97301-1420 | 2015-04-09 |
| 1396144507 | Constance Johanson | Family Medicine | 3959 Croisan Creek Rd S, Salem, OR 97302-9474 | 2014-08-14 |
| 1457792699 | Sultan Seretis Bussey Hospitalist LLC | Family Medicine | 310 Route 45, Salem, NJ 08079-2064 | 2013-07-16 |
| 1629338470 | Derek Koller | Family Medicine | 6861 Lemongrass Loop Se, Salem, OR 97306-1474 | 2012-05-25 |
| 1962712927 | Paul Julian Perrin | Family Medicine | 525 Ferry St Se, Suite 203, Salem, OR 97301 | 2010-10-08 |
| 1326372558 | Robert Verne Bain | Family Medicine | 2280 Kuebler Road, South, Salem, OR 97302 | 2009-09-21 |
| 1902036320 | James A. Auerbach, M.d., P.C. | Family Medicine | 4747 Skyline Rd S, Suite 190, Salem, OR 97306-4200 | 2009-07-20 |
| 1033347430 | Jeanette Walker | Family Medicine | 5560 Witzel Rd Se, Salem, OR 97317-9142 | 2009-06-24 |
| 1871747188 | Carmelle Marie Andrine Constant | Family Medicine | 84 Highland Ave Ste 309, Salem, MA 01970-2733 | 2008-11-13 |
| 1518127927 | Mazen I Madhoun | Family Medicine | 3737 W Main St Ste 101, Salem, VA 24153-2073 | 2008-06-10 |
| Find all providers in SALEM | ||||
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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.