Douglas Martin Nelson (NPI# 1568442077, PAC ID# 3375629108) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1568442077 |
| PAC ID by PECOS | 3375629108 |
| Professional Enrollment ID | I20101028001182 |
| Full Name | Douglas Martin Nelson |
| Organization Legal Name | WEST-TEN PODIATRY CENTRE INC |
| Address |
991 Route 19 N Waterford PA 16441-9739 |
| Phone Number | 8147966088 |
| Gender | M |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 0143276303 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390009 | SAINT VINCENT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1326 Peninsula Dr, Erie, PA 16505-4235 | 814835333826 | WEST-TEN PODIATRY CENTRE INC |
| 991 Route 19 N, Waterford, PA 16441-9739 | 8147966088 | WEST-TEN PODIATRY CENTRE INC |
| Organization Legal Name | WEST-TEN PODIATRY CENTRE INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chris Nelson | Podiatry | West-ten Podiatry Centre Inc | 1326 Peninsula Dr, Erie, PA 16505-4235 |
| Street Address |
991 ROUTE 19 N |
| City | WATERFORD |
| State | PA |
| Zip | 16441-9739 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas P Lichtinger | Chiropractic | 212 S High St, Waterford, PA 16441-0239 | |
| Kristine M Nelson | Chiropractic | 413 High St, Waterford, PA 16441-8301 | |
| Luke T Pavkov | Chiropractic | 18 N Park Row, Waterford, PA 16441-8308 | |
| Brandon Mikel Kudasik | Physical Therapy | Waterford Physical Therapy, Inc. | 991 Route 19n E, Waterford Physical Therapy and Sports Rehab, Waterford, PA 16441-9739 |
| Gary J Cortina | Orthopedic Surgery | Regional Health Services Inc | 991 Route 19 N B, Waterford, PA 16441-9739 |
| Stephanie R Rademacher | Physician Assistant | Regional Health Services Inc | 991 Route 19 N B, Waterford, PA 16441-9739 |
| Kathryn M Cawley | Physician Assistant | Regional Health Services Inc | 991 Route 19 N B, Waterford, PA 16441-9739 |
| Stacy J. Green | Nurse Practitioner | Regional Health Services Inc | 991 Route 19 N B, Waterford, PA 16441-9739 |
| Nathan M Moore | Family Medicine | Regional Health Services Inc | 991 Route 19 N B, Waterford, PA 16441-9739 |
| Gregory Lee Waite | Physical Therapy | Waterford Physical Therapy, Inc. | 991 Route 19n E, Waterford Physical Therapy and Sports Rehab, Waterford, PA 16441-9739 |
| Find all physicians in zip 16441 | |||
| City | WATERFORD |
| Zip Code | 16441 |
| Specialty | PODIATRY |
| City + Specialty | WATERFORD + PODIATRY |
Please comment or provide details below to improve the information on Douglas Martin 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.