JEREMIAH NELSON (NPI# 1063494524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063494524 |
| Entity Type | Individual |
| Full Name | JEREMIAH NELSON |
| Credential | MD |
| Practice Address |
910 N Eisenhower Ave Mason City IA 50401-1525 |
| Mailing Address |
621 S Illinois Ave Suite 103 Mason City IA 50401-5489 |
| Practice Telephone | 6414287799 |
| Practice Fax Number | 6414285274 |
| Mailing Telephone | 6414283041 |
| Mailing Fax Number | 6414283059 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2020-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
MD-45607 | IA | Allopathic & Osteopathic Physicians |
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
ME 92825 | FL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 35099088 | OH | Allopathic & Osteopathic Physicians |
| N | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
35099088 | OH | Allopathic & Osteopathic Physicians |
| N | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
ME0092825 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AMERIGROUP | 297631 | 01 |
| FL | BCBS | 16865 | 01 |
| FL | STAYWELL HEALTHY KIDS | 297105 | 01 |
| FL | CIGNA | 2438274001 | 01 |
| FL | AETNA UNITED | 7134730 | 01 |
| FL | HUMANA | 489063073 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 615 E Princeton St Ste 101, Orlando, FL 328031435 | 4078962901 | 4078962902 |
| Street Address |
910 N EISENHOWER AVE |
| City | MASON CITY |
| State | IA |
| Zip Code | 50401-1525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104811041 | John C Justin | Pediatrics | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2005-09-16 |
| 1023622628 | Ashley Matern | Nurse Practitioner | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2020-09-02 |
| 1629690508 | Tara Nichols | Nurse Practitioner | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2020-05-13 |
| 1700424801 | Heather Ileane Ricklefs | Pharmacist | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2019-12-19 |
| 1770136194 | Benjamin Buffington | Pharmacist | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2019-07-24 |
| 1568014835 | Mahala Phillips | Nurse Practitioner | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2019-07-16 |
| 1811469364 | Lisa A Quigley | Nurse Practitioner | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2018-12-21 |
| 1861968737 | Jessica Lynn Reicks | Occupational Therapy Assistant | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2018-10-18 |
| 1922580125 | Kerri Conway | Occupational Therapist | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2018-09-04 |
| 1790214575 | Tina J Reid | Nurse Practitioner | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2017-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912544123 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1140 Limestone St, Mason City, IA 50401 | 2019-12-06 |
| 1548829989 | Debra Lynn Perzynski | Counselor | 103 E State St Suite 301, Brick and Tile Building, Mason City, IA 50401 | 2019-06-10 |
| 1851858617 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 80 North Eisenhower Ave, Mason City, IA 50401 | 2019-02-27 |
| 1578055521 | Alex Jon Uhlenhopp | Optometrist | 422 S Pierce Ave Ste 1, Mason City, IA 50401 | 2018-06-05 |
| 1538672985 | Bonnie Jean Burnett | Hearing Instrument Specialist | 704 16th St. Ne, Mason City, IA 50401 | 2017-11-08 |
| 1639691009 | Jeremy Baker | Counselor | 320 N Eisenhower Avenue, Mason City, IA 50401 | 2017-07-07 |
| 1437689940 | Medi-dent, Inc. | Psychiatry & Neurology | 1050 15th St. S.w., Suite 2, Mason City, IA 50401 | 2017-06-18 |
| 1922485283 | Jamie Lynn Heard | Social Worker | 50 N. Eisenhower Ave., Mason City, IA 50401 | 2015-05-06 |
| 1558756999 | Tyler Borchardt | Specialist/Technologist | 640 South Indiana Avenue, Mason City, IA 50401 | 2015-04-02 |
| 1811339203 | Siddiq A. Khan | General Practice | 520 S. Pierce Ave. Suite 150, Mason City, IA 50401 | 2013-07-25 |
| Find all providers in zip 50401 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427214170 | Harpreet Kaur | Internal Medicine | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2008-08-01 |
| 1922274653 | North Iowa Mercy Clinics | Internal Medicine | 910 N Eisenhower Ave, Ste Mdc, Mason City, IA 50401-1525 | 2008-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154730869 | Maria Gabriela Suarez Lopez | Internal Medicine | 411 Laurel St Ste 3262, Des Moines, IA 50314-3027 | 2014-08-06 |
| 1447693924 | Helmut Gunther Schrott | Internal Medicine | 3117 Alpine Ct, Iowa City, IA 52245-5401 | 2013-04-15 |
| 1952525115 | Prasuna Madhavaram | Internal Medicine | 621 Huntington Ridge Rd Ne, Cedar Rapids, IA 52402-7308 | 2007-04-12 |
| 1710908181 | Mary Kathleen Figaro | Internal Medicine | 4620 E 53rd St Ste 200, Davenport, IA 52807-3627 | 2006-07-21 |
| 1558882217 | Srinivasa Venkata Siva Kumar Kasina | Internal Medicine | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2017-07-03 |
| 1275053191 | Maisoon Torfah | Internal Medicine | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2017-06-21 |
| 1780060285 | Yamuna Gorantla | Internal Medicine | 1015 Duff Ave, Ames, IA 50010-5733 | 2015-08-06 |
| 1619358603 | Losty Tatiana Torres Potter | Internal Medicine | 240 N Rerick Ave, Primghar, IA 51245-7786 | 2015-06-15 |
| 1962807784 | Mercy Physician Associates, Inc | Internal Medicine | 5264 Council St Ne, Suite 800, Cedar Rapids, IA 52402-2471 | 2014-10-23 |
| 1043629355 | Robert Spanheimer | Internal Medicine | 200 Hawkins Dr, Department of Internal Medicine, Iowa City, IA 52242-1009 | 2014-08-12 |
| Find all providers with the same taxonomy | ||||
| City | MASON CITY |
| Zip Code | 50401 |
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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.