Matthew Nelson (NPI# 1437584752, PAC ID# 0840425898) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1437584752 |
| PAC ID by PECOS | 0840425898 |
| Professional Enrollment ID | I20150901001866 |
| Full Name | Matthew Nelson |
| Organization Legal Name | FAMILY HEALTH SERVICES CORPORATION |
| Address |
725 Fair St Buhl ID 83316-6442 |
| Phone Number | 2085438271 |
| Gender | M |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7012815038 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130002 | ST LUKES MAGIC VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 725 Fair St, Buhl, ID 83316-6442 | 2085438271 | FAMILY HEALTH SERVICES CORPORATION |
| Organization Legal Name | FAMILY HEALTH SERVICES CORPORATION |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Lewis Miller | Family Medicine | Family Health Services Corporation | 1309 Bennett Ave, Burley, ID 83318-2676 |
| Cameron Freeman | Physician Assistant | Family Health Services Corporation | 325 Martin St, Suite 1, Twin Falls, ID 83301-4563 |
| Jared Keller | Physician Assistant | Family Health Services Corporation | 402 6th St, Rupert, ID 83350-1619 |
| Toni R Miller | Nurse Practitioner | Family Health Services Corporation | 114 Pioneer Ct, Jerome, ID 83338-5193 |
| Ellen K Judd | Physician Assistant | Family Health Services Corporation | 1320 Bennett Ave, Burley, ID 83318-2665 |
| Cathy W Canty | Family Medicine | Family Health Services Corporation | 388 Martin St, Twin Falls, ID 83301-4544 |
| Adam T Richins | Physician Assistant | Family Health Services Corporation | 388 Martin St, Twin Falls, ID 83301-4544 |
| Ryan Hodges | Physician Assistant | Family Health Services Corporation | 388 Martin St, Twin Falls, ID 83301-4544 |
| Kalen Knopp | Physician Assistant | Family Health Services Corporation | 388 Martin St, Twin Falls, ID 83301-4544 |
| Todd B Thorne | Physician Assistant | Family Health Services Corporation | 388 Martin St, Twin Falls, ID 83301-4544 |
| Street Address |
725 FAIR ST |
| City | BUHL |
| State | ID |
| Zip | 83316-6442 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin R Cleverley | Chiropractic | 800 Main St, Buhl, ID 83316-1236 | |
| Gloria E Morse | Physical Therapy | 119 Broadway Ave N, Buhl, ID 83316-1622 | |
| Nicholas J Kelsey | Optometry | 650 Broadway Ave S, Buhl, ID 83316-1808 | |
| Nicolas J Hayes | General Surgery | North Canyon Medical Center Inc | 718 Hwy 30, Buhl, ID 83316-5039 |
| Dana L Nofziger | General Practice | 709 Fair St, Buhl, ID 83316-6442 |
| City | BUHL |
| Zip Code | 83316 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BUHL + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Matthew Nelson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.