DR. DOUGLAS DIRK NELSON (NPI# 1003868787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003868787 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS DIRK NELSON |
| Credential | MD |
| Practice Address |
8735 S Merrion Ln Hometown IL 60456-1133 |
| Mailing Address |
2850 S Wabash Ave Suite 100 Chicago IL 60616-2955 |
| Practice Telephone | 7084251150 |
| Practice Fax Number | 7084259454 |
| Mailing Telephone | 3128424600 |
| Mailing Fax Number | 3128428694 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750905881 | Douglas Nelson | Massage Therapist | 407 E Windsor Rd, Champaign, IL 61820-7722 | 2020-06-04 |
| 1255348637 | Douglas Richard Nelson | Dentist | 3521 Commerce Ct, Appleton, WI 54911-8579 | 2006-08-01 |
| 1265475958 | Douglas P Nelson | Internal Medicine | 33 W Tamarisk St, Phoenix, AZ 85041-2422 | 2006-06-13 |
| 1316913056 | Douglas Michael Nelson | Specialist/Technologist | 6200 140th St W, Apple Valley, MN 55124-3328 | 2006-02-23 |
| 1568442077 | Douglas Martin Nelson | Podiatrist | 1326 Peninsula Dr, Erie, PA 16505-4235 | 2006-01-19 |
| 1740261056 | Douglas L. Nelson | Chiropractor | 2721 Nall St, Port Neches, TX 77651-5203 | 2005-11-14 |
| 1689124216 | Douglas Alan Nelson | Counselor | 5808 Balcones Dr, Suite 101, Austin, TX 78731-4255 | 2016-10-06 |
| 1356626774 | Douglas Nelson | Pharmacist | 7851 Caton Farm Rd, Plainfield, IL 60586-1601 | 2011-10-17 |
| 1124333745 | Douglas James Nelson | Dentist | 11919 W. Sprague Ave, Airway Heights, WA 99001-1899 | 2010-08-09 |
| 1992942619 | Douglas Malcolm Nelson | Counselor | 45 Wadsworth Street, Hartford, CT 06106 | 2009-01-16 |
| Street Address |
8735 S MERRION LN |
| City | HOMETOWN |
| State | IL |
| Zip Code | 60456-1133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598103863 | Brian A Ware | Occupational Therapist | 8735 S Merrion Ln, Hometown, IL 60456-1133 | 2013-06-10 |
| 1861683864 | Robert R Miller | Specialist/Technologist | 8735 S Merrion Ln, Hometown, IL 60456-1133 | 2007-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477724631 | Themi Jouras | Physical Therapist | 4114 Sw Highway, Hometown, IL 60456 | 2008-03-17 |
| 1073711024 | Jolyne Noel Kaar | Family Medicine | 4140 Southwest Highway, Hometown, IL 60456 | 2007-07-10 |
| 1043384761 | Thomas G. Mulvey, M.s., P.t., M.b.a., P.C. | Physical Therapist | 4114 Southwest Highway, Hometown, IL 60456 | 2006-11-17 |
| 1326335332 | Parul Chaudhri | Family Medicine | 4140 Southwest Highway, Hometown, IL 60456 | 2011-06-29 |
| 1750678769 | Jonathan Hwa Fang | Family Medicine | 4140 Southwest Highway, Hometown, IL 60456 | 2011-06-29 |
| 1649567660 | Mehak D. Nangrani | Family Medicine | 4140 Southwest Highway, Hometown, IL 60456 | 2011-06-29 |
| 1417262031 | Julia M. Philip-kuli | Family Medicine | 4140 Southwest Highway, Hometown, IL 60456 | 2010-08-09 |
| 1619282233 | Patrick Brian Gibbons | Family Medicine | 4140 Southwest Highway, Hometown, IL 60456 | 2010-08-09 |
| 1861637217 | Erik Jon Mclaughlin | Family Medicine | 4140 Southwest Highway, Hometown, IL 60456 | 2008-12-12 |
| 1831738152 | Jessica Vilchis | Behavioral Analyst | 8775 S Duffy Ave, Hometown, IL 60456-1002 | 2020-01-03 |
| Find all providers in zip 60456 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834680 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1200 S York St Ste 4110, Elmhurst, IL 60126-5630 | 2020-09-02 |
| 1790303725 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1009 Il Route 22 Ste 2, Fox River Grove, IL 60021-1998 | 2020-07-07 |
| 1104440049 | Elliot M Johns | Orthopaedic Surgery | 301 N 8th St Ste 3a158, Springfield, IL 62701-1085 | 2020-06-06 |
| 1740804764 | David Alan Forgas | Orthopaedic Surgery | 901 N 1st St # D252, Springfield, IL 62702-3759 | 2020-06-05 |
| 1700417185 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 1890 Silver Cross Blvd # A, New Lenox, IL 60451-9524 | 2020-02-04 |
| 1588207799 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 2719 W Algonquin Rd, Algonquin, IL 60102-9400 | 2019-10-21 |
| 1669020848 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 406 Front St Ste 100, Mchenry, IL 60050-5593 | 2019-08-30 |
| 1790342194 | Kevin James Rasuli | Orthopaedic Surgery | 1611 W Harrison St. Ste. 400, Chicago, IL 60612 | 2019-05-22 |
| 1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
| 1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
| Find all providers with the same taxonomy | ||||
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| 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.