JOHN M NIELSEN (NPI# 1821186263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821186263 |
| Entity Type | Individual |
| Full Name | JOHN M NIELSEN |
| Credential | DPM |
| Practice Address |
1253 N Alpine Rd Rockford IL 61107 |
| Mailing Address |
Po Box 7866 Milwaukee WI 53278-8866 |
| Practice Telephone | 7796969201 |
| Mailing Telephone | 7796967150 |
| Mailing Fax Number | 7796967342 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2018-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 016004542 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 016004542 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083231609 | John Vendelboe Nielsen | Dietitian, Registered | 507 Nw 10th St, Ankeny, IA 50023-4203 | 2020-06-30 |
| 1093177735 | John Nielsen | Licensed Practical Nurse | 276 Wisconsin St, Rochester, NY 14609-7237 | 2016-03-22 |
| 1760491906 | John O. Nielsen | Dentist | 322 Graham St Sw, Cullman, AL 35055-5238 | 2006-08-05 |
| 1760465298 | John William Nielsen | Physician Assistant | 1901 S 17th St, Suite 1, Wilmington, NC 28401-6626 | 2005-11-29 |
| 1003811415 | John Francis Nielsen | Family Medicine | 702 Davis St, Ste 4, Carthage, TX 75633-1461 | 2005-06-14 |
| 1477965275 | John Nielsen | Nurse Practitioner | 3354 W 7800 S, West Jordan, UT 84088-4506 | 2014-05-28 |
| 1083031009 | John Nielsen | Counselor | 777 Bannock St, Denver, CO 80204-4507 | 2014-03-27 |
| 1508186669 | John Richard Nielsen | Physical Therapist | 509 Olive Way, Suite 1011, Seattle, WA 98101-1720 | 2010-06-10 |
| 1497855928 | John F Nielsen | Social Worker | 9090 S Rodgers Ct Se, Caledonia, MI 49316-8052 | 2006-09-24 |
| Street Address |
1253 N ALPINE RD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942227905 | Carolyn M Awender | Audiologist | 1253 N Alpine Rd, Rockford, IL 61107-2201 | 2006-07-16 |
| 1821433137 | Aleida Rodriguez | Internal Medicine | 1253 N Alpine Rd, Rockford, IL 61107-2201 | 2013-05-01 |
| 1366756793 | Jennifer C Lane | Otolaryngology | 1253 N Alpine Rd, Rockford, IL 61107 | 2010-07-27 |
| 1730404419 | Kelly M Logli | Nurse Practitioner | 1253 N Alpine Rd, Rockford, IL 61107 | 2010-04-06 |
| 1104065598 | Jessica E Muccianti | Physician Assistant | 1253 N Alpine Rd, Rockford, IL 61107 | 2009-02-10 |
| 1861655375 | Sravanthi Nagavalli | Internal Medicine | 1253 N Alpine Rd, Rockford, IL 61107 | 2008-07-03 |
| 1528231354 | Heath A. Hoffman | Podiatrist | 1253 N Alpine Rd, Rockford, IL 61107 | 2008-04-13 |
| 1194903849 | Ann L. Broughton | Audiologist | 1253 N Alpine Rd, Rockford, IL 61107-2201 | 2008-02-05 |
| 1144382268 | Swedishamerican Hospital | Otolaryngology | 1253 N Alpine Rd, Rockford, IL 61107 | 2006-12-14 |
| 1982782728 | Rachael E Dolezal | Audiologist | 1253 N Alpine Rd, Rockford, IL 61107-2201 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952139 | Jessica Marie Tamayo Fernandez | Pharmacist | 1145 Alpine Rd, Rockford, IL 61107 | 2020-08-13 |
| 1467092379 | Unknown Safa Fatima | Student in an Organized Health Care Education/Training Program | Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 | 2020-01-08 |
| 1194367912 | Matt J Kriebs | Nurse Practitioner | 1235 N Mulford Rd Suite 103, Rockford, IL 61107 | 2019-10-14 |
| 1265962336 | Mary Golembeck | Nurse Practitioner | 7290 Argus Dr, Rockford, IL 61107 | 2017-06-12 |
| 1831644749 | Tessa Lee | Occupational Therapist | 3422 Lauderdale Ln, Rockford, IL 61107 | 2016-08-20 |
| 1942626965 | Elevated Health Essentials, LLC | Chiropractor | 124 N Water St Ste 204e, Rockford, IL 61107 | 2014-03-14 |
| 1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
| 1346676582 | Christopher Anthony Ziganto | Pharmacist | 494 Bienterra Trail #2, Rockford, IL 61107 | 2013-09-19 |
| 1023358272 | Lavanya Durairajan | Physical Therapist | 7358 Shiligton Dr, Rockford, IL 61107 | 2013-02-26 |
| 1851523146 | Great Smiles of Rockford | Durable Medical Equipment & Medical Supplies | 780 N. Mulfrord Road, Rockford, IL 61107 | 2009-08-20 |
| Find all providers in zip 61107 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265895239 | Richard Bell | Podiatrist | 6055 Boxwood Dr, Rockford, IL 61114-6559 | 2016-03-29 |
| 1801025473 | Nathan Norem | Podiatrist | 2300 N Rockten Ave, Rockford, IL 61103-3619 | 2009-07-05 |
| 1508967621 | Matthew S. Keene | Podiatrist | 4777 East State Street, Suite 8, Rockford, IL 61108 | 2006-09-25 |
| 1497854053 | Philip W Seeber | Podiatrist | 3851 N Mulford, Rockford, IL 61114 | 2006-09-21 |
| 1215042965 | Paul A Galluzzo | Podiatrist | 6999 Redansa Drive, Rockford, IL 61108-1201 | 2006-08-21 |
| 1497731293 | Thomas A Runne | Podiatrist | 1437 S Bell School Rd Ste 2, Rockford, IL 61108-1405 | 2005-12-22 |
| 1316507890 | Ashley Ann Smith | Podiatrist | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2019-06-18 |
| 1922668755 | Jacob Russell Randich | Podiatrist | 5666 E State St, Rockford, IL 61108-2425 | 2019-06-14 |
| 1184144727 | Donald C Bisby | Podiatrist | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2017-06-25 |
| 1700239332 | Tiphani James | Podiatrist | 5666 E State St, Rockford, IL 61108-2425 | 2016-07-19 |
| Find all providers in ROCKFORD | ||||
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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.