DR. DANIEL BRENT NELSON (NPI# 1992041644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992041644 |
Entity Type | Individual |
Full Name | DR. DANIEL BRENT NELSON |
Credential | M.D. |
Practice Address |
3810 Farhills Dr Champaign IL 61822-9321 |
Practice Telephone | 2173516102 |
Mailing Telephone | 2173516102 |
Enumeration Date | 2012-12-28 |
Last Update Date | 2012-12-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
036047505 | IL | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366009904 | Daniel Lee Nelson | Behavior Technician | 1445 30th Ave, Longview, WA 98632-2707 | 2019-05-20 |
1174934590 | Daniel Kenneth Nelson | Contractor | 1097 Highway 98 E Ste B, Mccomb, MS 39648-9452 | 2014-05-20 |
1417204330 | Daniel David Nelson | Foster Care Agency | 862 S Main St., #4, Brigham City, UT 84302-0887 | 2012-08-09 |
1144485368 | Daniel R Nelson | Nurse's Aide | 2104 Eagle Landing Dr, Edinburg, TX 78542-3874 | 2008-07-28 |
1780737254 | Daniel John Nelson | Dentist | 697 N 1st St, Harrison, MI 48625-7726 | 2007-01-19 |
1346257169 | Daniel Keith Nelson | Dentist | 104 W 200 S, Brigham City, UT 84302-2506 | 2006-08-02 |
1437713872 | Daniel Eric Nelson | Specialist/Technologist | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2019-04-30 |
1558820605 | Daniel Brent Nelson | Student in an Organized Health Care Education/Training Program | 75 Francis St, Boston, MA 02115-6110 | 2019-03-18 |
1588140719 | Daniel Nelson | Dentist | 214 State St, Guthrie Center, IA 50115-1350 | 2018-07-11 |
1558895227 | Daniel Nelson | Student in an Organized Health Care Education/Training Program | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2017-04-19 |
Street Address |
3810 FARHILLS DR |
City | CHAMPAIGN |
State | IL |
Zip Code | 61822-9321 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083180830 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 2718 N Prospect Avenue, Champaign, IL 61822 | 2018-10-19 |
1487129730 | Siegfred T. Celis | Occupational Therapy Assistant | 1820 Oak Park Drive, Champaign, IL 61822 | 2018-10-12 |
1134633746 | Osf Healthcare System | Home Health | 1501 Interstate Dr Ste C, Champaign, IL 61822 | 2017-11-20 |
1386164200 | Carlo Sandico | Physical Therapist | 612 Corey Lane, Champagne, IL 61822 | 2017-06-21 |
1295270288 | Jennifer Lee Lugo | Registered Nurse | 3101 Fields South Dr., Champaign, IL 61822 | 2016-12-29 |
1902341209 | Jala Simmons | Behavioral Analyst | 4112 Fieldstone Rd, Suite B, Champaign, IL 61822 | 2016-12-22 |
1639552433 | Muhammad Ajmal | Internal Medicine | 1701 Curtis Road, Carle Clinic, Champaign, IL 61822 | 2015-06-30 |
1518363761 | Margaret A. Hallden | Hearing Instrument Specialist | 3354 Big Pine Trail #c, Audibel Hearing Aids, Champaign, IL 61822 | 2014-11-17 |
1801291638 | Kristen Karlsen | Pharmacist | 3114 Village Office Place, Champaign, IL 61822 | 2014-10-22 |
1649601543 | Jeff Chu | Optometrist | 507 W. Town Center Blvd, Champaign, IL 61822 | 2013-12-03 |
Find all providers in zip 61822 |
Taxonomy Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164984514 | Cil Care of Il II, LLC | Internal Medicine | 1900 E Golf Rd Ste 950, Schaumburg, IL 60173-5034 | 2019-04-04 |
1467950733 | Coordinated Health of Il, LLC | Internal Medicine | 1900 E Golf Rd Ste 950c, Schaumburg, IL 60173-5834 | 2018-01-31 |
1740728039 | Jenna Schrage | Internal Medicine | 317 N 5th St, Springfield, IL 62701-1003 | 2017-02-07 |
1417373010 | Hashim Gazi | Internal Medicine | 3331 West Deyoung, Suite 100, Marion, IL 62959 | 2014-03-07 |
1801184767 | Surya Teja Chaturvedula | Internal Medicine | 5409 N Knoxville Ave Ste 207, Peoria, IL 61614-5069 | 2011-07-13 |
1841583952 | C Dean Katsamakis Do Facc Sc | Internal Medicine | 240 Waukegan Rd, Glenview, IL 60025-5159 | 2011-05-23 |
1154550119 | Elliott M Groves | Internal Medicine | 840 S Wood St Ste Smc715, Chicago, IL 60612-4325 | 2009-07-10 |
1841484813 | Elsayed Mohamed | Internal Medicine | 804 E Woodfield Rd Ste 300, Schaumburg, IL 60173-4776 | 2007-08-31 |
1952513335 | Muhammad Sikander Akbar | Internal Medicine | 6300 N Lincoln Ave, Chicago, IL 60659-1204 | 2007-05-05 |
1841313962 | Cardiac & Vascular Specialists, S.c. | Internal Medicine | 12155 Regency Square Pkwy, Huntley, IL 60142 | 2007-04-06 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DR. DANIEL BRENT NELSON.
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.