DR. THOMAS EDWIN NIELSEN


Address: 3302 Gerig Dr, Suite 100, Bloomington, IL 61704-6365
Phone: 3098624000

DR. THOMAS EDWIN NIELSEN (NPI# 1871521757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871521757
Entity Type Individual
Full Name DR. THOMAS EDWIN NIELSEN
Credential M.D.
Practice Address 3302 Gerig Dr
Suite 100
Bloomington
IL 61704-6365
Practice Telephone 3098624000
Practice Fax Number 3098624055
Mailing Telephone 3098624000
Mailing Fax Number 3098624055
Enumeration Date 2006-06-29
Last Update Date 2014-03-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 202K00000X Phlebology 036065215 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL BC/BS 05721369 01

Other Providers THOMAS NIELSEN

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1689700296 Thomas W Nielsen Jr. Counselor 5001 Hwy 190, Suite B-1, Covington, LA 70433 2007-02-26
1235138546 Thomas J Nielsen Otolaryngology 1611 W Harrison St, Suite 550, Chicago, IL 60612-4861 2005-07-19
1215413620 Thomas Nielsen Massage Therapist 1153 E 3900 S, Salt Lake City, UT 84124-1201 2018-07-18
1700100021 Thomas A Nielsen Pharmacist 1055 Rte 202 N, Branchburg, NJ 08876-3936 2010-03-15
1144433905 Thomas Dalsgaard Nielsen Internal Medicine 415 Medical Center Dr Sw, Fort Payne, AL 35968-3421 2007-05-08
1982765806 Thomas L Nielsen Emergency Medicine 333 Pine Ridge Blvd, Wausau, WI 54401-4120 2006-12-13

Office Location

Street Address 3302 GERIG DR
SUITE 100
City BLOOMINGTON
State IL
Zip Code 61704-6365

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194751156 Kathryn Sue Bohn Phlebology 3302 Gerig Dr, Suite 100, Bloomington, IL 61704-6365 2006-06-23
1861703100 The Vein Specialists, LLC Emergency Medicine 3302 Gerig Dr, Suite 100, Bloomington, IL 61704-6365 2010-07-01
1649207960 Richard Castillo Phlebology 3302 Gerig Dr, Suite 100, Bloomington, IL 61704-6365 2006-06-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518430859 Visionpoint Eye Center LLC Optometrist 1107 Airport Road, Bloomington, IL 61704 2019-01-09
1922588235 Geethu Sabu Makil Speech-Language Pathologist 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 2018-08-16
1629596812 Mental Wellness Center Inc Counselor 202 N Prospect Rd Ste 207, Bloomington, IL 61704 2017-09-07
1649798513 Sarah Goodner Psychologist 1704 Royal Pointe Drive, Bloomington, IL 61704 2017-08-31
1346760253 Elizabeth Devlin Nurse Practitioner 25 Long Cove Ct, Bloomington, IL 61704 2017-06-21
1396107918 Darla Schwertfeger Specialist/Technologist, Other 2104 Hedgewood Dr, Bloomington, IL 61704 2016-03-23
1740662949 Oncology Hematology Associates of Central Illinois Pharmacy 3105 Magory Drive, Bloomington, IL 61704 2015-06-24
1821478967 Kelly R Andrews Massage Therapist 4101 Wicker Rd, Bloomington, IL 61704 2015-06-03
1235522582 All Ways Caring Services, Inc. In Home Supportive Care 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 2015-03-11
1396093977 Bhawna Gupta Physical Therapist 2200 East Washington Street, Bloomington, IL 61704 2012-08-29
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Taxonomy Information

Taxonomy Code 202K00000X
Grouping Allopathic & Osteopathic Physicians
Classification Phlebology

Taxonomy Definition

Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism.
Notes: Source: American College of Phlebology 12/2006. www.phelbology.org [1/1/2007: new, 7/1/2009: definition reformatted] Additional Resources: Training Programs, Fellowships, and/or Preceptorships: Certification exam is being established by the American Board of Phlebology. ACGME Accredited Residency Program Requirements: None

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194751156 Kathryn Sue Bohn Phlebology 3302 Gerig Dr, Suite 100, Bloomington, IL 61704-6365 2006-06-23
1033468715 Vein Clinic LLC Phlebology 3209 W Fullerton Pike, Suite G, Bloomington, IN 47403-4060 2012-09-10
1033466495 Varicose Vein Treatment Center Phlebology 3209 W Fullerton Pike, Suite C, Bloomington, IN 47403-4060 2012-08-04
1649207960 Richard Castillo Phlebology 3302 Gerig Dr, Suite 100, Bloomington, IL 61704-6365 2006-06-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154602043 Mvc-chicago, S.c. Phlebology 680 N Lake Shore Dr Suite 104, Chicago, IL 60673-1050 2011-09-06
1053511840 Sw Suburban - Midwest Vascular Center, S. C. Phlebology 10755 W 143rd St, Orland Park, IL 60462-1900 2007-07-20
1447343090 Chicago Vein Institute S.c. Phlebology 4906 N. Western Ave., Suite 2, Chicago, IL 60625 2006-10-02
1154378040 Illinois Phlebology Associates Sc Phlebology 14225 S 95th Ave Ste 455, Orland Park, IL 60462-2266 2006-05-27
1457311524 Stephen Carl Sorenson Phlebology 795 Ela Rd Ste 115, Lake Zurich, IL 60047 2006-03-24
1396728978 Peter Brukasz Phlebology 10510 S Roberts Rd, Palos Hills, IL 60465-1934 2005-11-28
1619412574 The Institute for Vein Health LLC Phlebology 10510 S Roberts Rd, Palos Hills, IL 60465-1934 2017-01-03
1457711269 Lake County Vein Specialists, Sc Phlebology 1425 N Hunt Club Rd, Suite 202, Gurnee, IL 60031-2632 2016-03-07
1255603247 Grand Vein Specialists LLC Phlebology 1508 Grand Ave, Waukegan, IL 60085-3653 2012-02-06
1083916845 Mir Joffrey Md, LLC Phlebology 1100 E Woodfield Rd, Suite 140, Schaumburg, IL 60173-5116 2010-11-30
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Competitor

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City BLOOMINGTON
Zip Code 61704

Improve Information

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Dataset Information

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.

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