Kelly R Nelson (NPI# 1760435838, PAC ID# 6305870791) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1760435838 |
| PAC ID by PECOS | 6305870791 |
| Professional Enrollment ID | I20091029000269 |
| Full Name | Kelly R Nelson |
| Organization Legal Name | UNITED PHYSICIANS CARE INC |
| Address |
120 Medical Park Dr Suite 300 Bridgeport WV 26330-9013 |
| Phone Number | 6813423300 |
| Gender | M |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 6103814017 |
| Number of Group Practice Members | 80 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510006 | UNITED HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 120 Medical Park Dr, Suite 300, Bridgeport, WV 26330-9013 | 6813423300 | UNITED PHYSICIANS CARE INC |
| Organization Legal Name | UNITED PHYSICIANS CARE INC |
| Physicians | 74 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina Kitsos | Hospitalist | United Physicians Care Inc | 327 Medical Park Dr, Bridgeport, WV 26330-9006 |
| Frank Wiechers | Nurse Practitioner | United Physicians Care Inc | 177 Middletown Rd, Suite 1, Fairmont, WV 26554-8254 |
| Justin Hayes | Nurse Practitioner | United Physicians Care Inc | 710 Genesis Blvd, Bridgeport, WV 26330-9668 |
| Zachary Henry | Family Medicine | United Physicians Care Inc | 2373 W Main St, Suite 102, Salem, WV 26426-7515 |
| Lauren J Tomes | Family Medicine | United Physicians Care Inc | 14032 Barbour County Hwy, Philippi, WV 26416-7665 |
| Sarah Patrick | Nurse Practitioner | United Physicians Care Inc | 686 S Pike St, Shinnston, WV 26431-1043 |
| Melanie Douglas Soule | Nurse Practitioner | United Physicians Care Inc | 16 Sterling Dr, Bridgeport, WV 26330-9133 |
| Vigneshwaran Ramanathan | Internal Medicine | United Physicians Care Inc | 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016 |
| Angela Marie Mills | Family Medicine | United Physicians Care Inc | 134 Industrial Park Rd, Suite 200, Jane Lew, WV 26378-9785 |
| Frances Murray | Family Medicine | United Physicians Care Inc | 120 Medical Park Dr, Suite 300, Bridgeport, WV 26330-9013 |
| Street Address |
120 MEDICAL PARK DR SUITE 300 |
| City | BRIDGEPORT |
| State | WV |
| Zip | 26330-9013 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frances Murray | Family Medicine | United Physicians Care Inc | 120 Medical Park Dr, Suite 300, Bridgeport, WV 26330-9013 |
| Sharifeh Farasat | Dermatology | Mountain State Medical Specialties, Pllc | 120 Medical Park Dr, Bridgeport, WV 26330-9012 |
| John G Hancox | Dermatology | Mountain State Medical Specialties, Pllc | 120 Medical Park Dr, Bridgeport, WV 26330-9012 |
| James Malone | Family Medicine | United Physicians Care Inc | 120 Medical Park Dr, Suite 300, Bridgeport, WV 26330-9013 |
| William Thomas Corder | Allergy/immunology | Mountain State Medical Specialties, Pllc | 120 Medical Park Dr, Bridgeport, WV 26330-9012 |
| Charles Bradley Franz | Dermatology | Mountain State Medical Specialties, Pllc | 120 Medical Park Dr, Bridgeport, WV 26330-9012 |
| Robbie H Taha | Internal Medicine | Coastal Carolina Multispecialty Associates LLC | 120 Medical Park Dr, Walterboro, SC 29488-5719 |
| Aaradhana Kaul | Rheumatology | United Hospital Center Inc | 120 Medical Park Dr, Suite 100, Bridgeport, WV 26330-9013 |
| Meranda Danielle Chipps | Nurse Practitioner | United Hospital Center Inc | 120 Medical Park Dr, Suite 100, Bridgeport, WV 26330-9013 |
| Stephen F Fryer Ii | Family Medicine | United Physicians Care Inc | 120 Medical Park Dr, Suite 300, Bridgeport, WV 26330-9013 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vigneshwaran Ramanathan | Internal Medicine | United Physicians Care Inc | 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016 |
| Sean T. Keesee | Internal Medicine | United Physicians Care Inc | 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016 |
| Adam Michael Penfold | Physician Assistant | United Physicians Care Inc | 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016 |
| Erin Colleen Hawkins | Nurse Practitioner | United Physicians Care Inc | 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016 |
| Keith Iverson Harrop Ii | Internal Medicine | United Physicians Care Inc | 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016 |
| Josalyn M Mann | Family Medicine | United Physicians Care Inc | 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016 |
| Marcus A Peters | Family Medicine | United Physicians Care Inc | 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016 |
| Alexandria D Johnson | Nurse Practitioner | United Physicians Care Inc | 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016 |
| Ruthanne Marie Watkins | Family Medicine | United Physicians Care Inc | 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016 |
| Haeley E Harman | Family Medicine | United Physicians Care Inc | 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016 |
| Find all physicians in zip 26330 | |||
| City | BRIDGEPORT |
| Zip Code | 26330 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BRIDGEPORT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kelly R 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.