MR. GREGORY LAWRENCE NIELSEN (NPI# 1033277199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033277199 |
Entity Type | Individual |
Full Name | MR. GREGORY LAWRENCE NIELSEN |
Credential | MD |
Practice Address |
1750 N Wymount Terrace Dr Provo UT 84604 |
Practice Telephone | 8014222771 |
Practice Fax Number | 8014220761 |
Mailing Telephone | 8014222771 |
Mailing Fax Number | 8014220761 |
Enumeration Date | 2006-12-04 |
Last Update Date | 2008-02-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 182736-1205 | UT | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578600318 | Gregory James Nielsen | Dentist | 2225 Broadwater Ave Ste A, Billings, MT 59102-4707 | 2007-01-31 |
1518949742 | Gregory M Nielsen | Oral & Maxillofacial Surgery | 26111 Woodward Ave, Huntington Woods, MI 48070-1330 | 2005-11-15 |
1851910087 | Gregory K Nielsen | Student in an Organized Health Care Education/Training Program | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-04-08 |
1629606181 | Gregory Nielsen | Student in an Organized Health Care Education/Training Program | 1215 Lee St # 800740, Charlottesville, VA 22908-0816 | 2020-03-31 |
Street Address |
1750 N WYMOUNT TERRACE DR |
City | PROVO |
State | UT |
Zip Code | 84604 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891787891 | Steven W Bloink | Family Medicine | 1750 N Wymount Terrace Dr, Provo, UT 84602-7600 | 2005-08-17 |
1730679085 | Oak Hills Pharmacy LLC | Pharmacy | 1750 N Wymount Terrace Dr, Provo, UT 84602-7600 | 2018-05-12 |
1548627763 | Kelly Smith | Nurse Practitioner | 1750 N Wymount Terrace Dr, Provo, UT 84602-7600 | 2016-01-19 |
1669814505 | Brandon Thatcher | Nurse Practitioner | 1750 N Wymount Terrace Dr, Provo, UT 84602-7600 | 2013-07-19 |
1699024927 | Steven Morris Blanthorn | Physical Therapist | 1750 N Wymount Terrace Dr, Byu Student Health Center, Provo, UT 84604-8600 | 2012-08-31 |
1174707046 | William R Graden | General Practice | 1750 N Wymount Terrace Dr, Provo, UT 84602-4405 | 2007-12-27 |
1477737419 | Lorraine R Davis | Nurse Practitioner | 1750 N Wymount Terrace Dr, Provo, UT 84602-4800 | 2007-12-27 |
1407030695 | David P Brown | General Practice | 1750 N Wymount Terrace Dr, Provo, UT 84602-4800 | 2007-12-24 |
1144404385 | Mary Ann Evans | Nurse Practitioner | 1750 N Wymount Terrace Dr, Provo, UT 84602-4800 | 2007-12-24 |
1598949786 | Elizabeth K Blackwell | Family Medicine | 1750 N Wymount Terrace Dr, Provo, UT 84602-4800 | 2007-12-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
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Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407453160 | Utah Valley Natural Health Clinic | Family Medicine | 3311 N University Ave Ste 100, Provo, UT 84604-7432 | 2020-10-06 |
1750840054 | Jonathon Lee Gross | Family Medicine | 395 W Cougar Blvd Ste 205, Provo, UT 84604-3328 | 2019-03-16 |
1275099897 | Optimal Health Family Practice Pllc | Family Medicine | 75 S 200 E Ste 100, Provo, UT 84606-3146 | 2019-02-19 |
1518414481 | Ihc Health Services Inc | Family Medicine | 395 W Bulldog Blvd Ste 603, Provo, UT 84604 | 2016-09-08 |
1790175628 | Brigham Young University | Family Medicine | 173 Richards Building, Dance Department, Provo, UT 84602-2000 | 2015-01-30 |
1790198141 | Micia Roby | Family Medicine | 1055 N 500 W Building A, Provo, UT 84604 | 2014-06-03 |
1295171874 | Angel Kae Lybbert | Family Medicine | 395 W. Bulldog Blvd. Suite 6b, Provo, UT 84604 | 2013-05-22 |
1912267212 | Ihc Health Services Inc | Family Medicine | 1401 E 2000 S, Provo, UT 84606-2072 | 2012-05-21 |
1710250253 | Mark Timothy Ross | Family Medicine | 3737 N 970 E, Provo, UT 84604-5247 | 2012-02-14 |
1639497191 | John Frederic Templeman | Family Medicine | 4728 Mile High Dr, Provo, UT 84604-5318 | 2010-05-08 |
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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.