BUDDY R NIELSEN (NPI# 1114007051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114007051 |
| Entity Type | Individual |
| Full Name | BUDDY R NIELSEN |
| Credential | M.D. |
| Practice Address |
1501 E Mockingbird Ln #101 Victoria TX 77904-2155 |
| Mailing Address |
1501 E Mockingbird Ln Ste 101 Victoria TX 77904-2178 |
| Practice Telephone | 3615736291 |
| Practice Fax Number | 3615762434 |
| Mailing Telephone | 3615736291 |
| Mailing Fax Number | 3615762434 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2019-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | J8074 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 138596501 | 05 | |
| TX | CHAMPUS | 742710179A012 | 01 |
| TX | BLUE CROSS | 87W152 | 01 |
| TX | WORKER COMPENSATION | MDJ8074 | 01 |
| Street Address |
1501 E MOCKINGBIRD LN #101 |
| City | VICTORIA |
| State | TX |
| Zip Code | 77904-2155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003806464 | Jeffrey Fred Davang | Anesthesiology | 1501 E Mockingbird Ln, 101, Victoria, TX 77904-2155 | 2005-10-26 |
| 1851662142 | Ryan Christopher Toney | Anesthesiology | 1501 E Mockingbird Ln, #101, Victoria, TX 77904-2155 | 2012-01-19 |
| 1881991339 | Jide Omosewo | Nurse Anesthetist, Certified Registered | 1501 E Mockingbird Ln, Suite 101, Victoria, TX 77904-2155 | 2011-02-18 |
| 1679803803 | Leonard Paul Linke Jr. | Nurse Anesthetist, Certified Registered | 1501 E Mockingbird Ln, #101, Victoria, TX 77904-2155 | 2010-01-11 |
| 1912140641 | Grant E Vanmeter | Nurse Anesthetist, Certified Registered | 1501 E Mockingbird Ln, #220, Victoria, TX 77904 | 2009-04-10 |
| 1255592200 | Lucille Mary Pickney | Anesthesiology | 1501 E Mockingbird Ln, Suite 101, Victoria, TX 77904-2155 | 2008-06-23 |
| 1356509756 | New Beginnings | Counselor | 1501 E Mockingbird Ln, Suite 262, Victoria, TX 77904-2155 | 2008-06-02 |
| 1669646303 | Stuart Mellett Connell | Anesthesiology | 1501 E Mockingbird Ln, Suite 101, Victoria, TX 77904-2155 | 2008-04-14 |
| 1437203924 | Cheryl Ann Green | Social Worker | 1501 E Mockingbird Ln, Suite 262, Victoria, TX 77904-2139 | 2007-01-22 |
| 1821177940 | Ernest L Stone | Anesthesiology | 1501 E Mockingbird Ln, Ste 101, Victoria, TX 77904-2155 | 2006-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528600384 | Bertha P Mendieta | Physician Assistant | Citizens Victoria Surgical Associates, 2705 Hospital Drive Suite 400, Building B, Victoria, TX 77904 | 2019-10-14 |
| 1952968901 | Eliza Welder | Counselor | 6502 Nursery Dr. Suite, Suite 100, Victoria, TX 77904 | 2019-05-24 |
| 1154806529 | Tammy Lynn Hogan | Counselor | 4702 N. Laurent Ste D, Victoria, TX 77904 | 2018-10-01 |
| 1740724939 | Sarah Ritchea | Counselor | 6502 Nursery Dr. Suite 100, Victoria, TX 77904 | 2016-12-07 |
| 1992177489 | World of Words Speech & Feeding Services, LLC | Speech-Language Pathologist | 120 Appaloosa Dr., Victoria, TX 77904 | 2015-10-23 |
| 1396115739 | Katelin Mcvey | Physician Assistant | 106 Springwood Drive, Suite 100, Victoria, TX 77904 | 2015-09-28 |
| 1689070062 | Jeremy M Thompson Dds Ms Pllc | Clinic/Center | 103 Professional Park Driv, Victoria, TX 77904 | 2014-11-12 |
| 1265864144 | Pf Development 23, LLC | Hospice Care, Community Based | 1501 E Mockingbird Ln Ste 301b, Victoria, TX 77904 | 2013-08-02 |
| 1053669762 | Victoria Dentistry, Pllc | Dentist | 8809 North Navarro, Ste.100, Victoria, TX 77904 | 2012-08-28 |
| 1508126442 | Ayo Adu, M.d., Pllc | Family Medicine | 9410 Ne Zac Lentz Parkway, Suite 200, Victoria, TX 77904 | 2012-05-25 |
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| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184714990 | Thomas Ashy | Anesthesiology | 1501 E Mockingbird Lane, #101, Victoria, TX 77904-2194 | 2006-10-13 |
| 1013945740 | Kapil Kashyap | Anesthesiology | 1501 E Mockingbird Ln Ste 101, Victoria, TX 77904-2178 | 2006-06-29 |
| 1003806464 | Jeffrey Fred Davang | Anesthesiology | 1501 E Mockingbird Ln, 101, Victoria, TX 77904-2155 | 2005-10-26 |
| 1134128374 | Juan Manuel Gonzalez | Anesthesiology | 325 Kendal Dr, Victoria, TX 77904-1956 | 2005-07-19 |
| 1922004142 | Satkartar Ltd LLP | Anesthesiology | 2701 Hospital Dr, Victoria, TX 77901-5748 | 2005-06-22 |
| 1851662142 | Ryan Christopher Toney | Anesthesiology | 1501 E Mockingbird Ln, #101, Victoria, TX 77904-2155 | 2012-01-19 |
| 1417275363 | Matthew David Phillips | Anesthesiology | 1501 E Mockingbird Ln Ste 220, Victoria Anesthesiology Associates, Victoria, TX 77904-2194 | 2010-05-16 |
| 1124274055 | Robert Gene Jantz | Anesthesiology | 2701 Hospital Dr, Victoria, TX 77901 | 2008-08-12 |
| 1255592200 | Lucille Mary Pickney | Anesthesiology | 1501 E Mockingbird Ln, Suite 101, Victoria, TX 77904-2155 | 2008-06-23 |
| 1669646303 | Stuart Mellett Connell | Anesthesiology | 1501 E Mockingbird Ln, Suite 101, Victoria, TX 77904-2155 | 2008-04-14 |
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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.