JEFFREY EDWIN NIELSEN (NPI# 1174630958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174630958 |
| Entity Type | Individual |
| Full Name | JEFFREY EDWIN NIELSEN |
| Credential | M.D. |
| Practice Address |
2900 Foxfield Rd Suite 100 Saint Charles IL 60174-5799 |
| Mailing Address |
27w685 Parkview Ave Warrenville IL 60555-3130 |
| Practice Telephone | 6303776500 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 36073158 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275814485 | Jeffrey Nielsen | Pharmacist | 5001 N Ten Mile Rd, Meridian, ID 83646 | 2011-08-31 |
| 1215158126 | Jeffrey Roger Nielsen | Dentist | 2456 South 120 Street, Omaha, NE 68144 | 2007-05-01 |
| 1700915170 | Jeffrey D Nielsen | Dentist | 3144 Van Zile Rd., Crandon, WI 54520-9001 | 2007-03-03 |
| 1841244787 | Jeffrey Winther Nielsen | Internal Medicine | 150 Fairview Rd Ste 110, Mooresville, NC 28117-9506 | 2006-05-22 |
| 1093996431 | Jeffrey L Nielsen | Pharmacist | 4901 N 4th Ave, Sioux Falls, SD 57104-0444 | 2007-11-14 |
| 1174715411 | Jeffrey Mark Nielsen | Physical Therapist | 601 Highway 6 W, Iowa City, IA 52246-2292 | 2007-08-10 |
| 1801957683 | Jeffrey R Nielsen | Counselor | 810 28th St Ne, Auburn, WA 98002-2425 | 2006-12-13 |
| 1386642593 | Jeffrey Vincent Nielsen | Surgery | 202 10th Street Se, Cedar Rapids, IA 52403-2404 | 2005-07-12 |
| Street Address |
2900 FOXFIELD RD SUITE 100 |
| City | SAINT CHARLES |
| State | IL |
| Zip Code | 60174-5799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427244987 | St Charles Plastic Surgery, Ltd. | Plastic Surgery | 2900 Foxfield Rd, Suite 201, Saint Charles, IL 60174-5799 | 2007-09-19 |
| 1780748228 | Valley Family Medicine, S.c. | Family Medicine | 2900 Foxfield Rd, Suite 101, Saint Charles, IL 60174-5799 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306474192 | Halinas Residential Home Care | Registered Nurse | 825 North Fifth Avenue, St. Charles, IL 60174 | 2020-03-29 |
| 1205354503 | Connor Lavallie | Chiropractor | 240 W River Dr, St Charles, IL 60174 | 2017-09-07 |
| 1427579952 | Melanie Elizabeth Long | Counselor | 5n147 Oak Leaf Ct, St Charles, IL 60174 | 2017-07-06 |
| 1255860656 | Hannah Elizabeth Gambrel | Counselor | 12 South 7th Avenue, St. Charles, IL 60174 | 2017-06-08 |
| 1275981490 | Anju Patel | Pharmacist | 2038 Praire St, St. Charles, IL 60174 | 2016-05-27 |
| 1316328529 | Allison Jensen | Dentist | 11 S. 2nd Ave #11, St. Charles, IL 60174 | 2015-06-12 |
| 1225466576 | Chelsea Wright | Social Worker | 522 W Main St Unit 2d, St Charles, IL 60174 | 2013-10-24 |
| 1114261427 | Bryan R. Cichon Dds PC | Dentist | 700 S. Randall Rd., Suite #1, St. Charles, IL 60174 | 2012-11-27 |
| 1124372289 | Stacey Lynn Conner | Developmental Therapist | 910 Manley Rd, St. Charles, IL 60174 | 2012-10-28 |
| 1093070567 | St. Charles Service Corporation | Physical Therapist | 1615 W. Main Street, St. Charles, IL 60174 | 2012-07-10 |
| Find all providers in zip 60174 | ||||
| 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 |
|---|---|---|---|---|
| 1669837993 | St. Charles Family Clinic Pllc | Family Medicine | 611 W Belle Avenue, Saint Charles, MI 48655 | 2015-12-31 |
| 1922408426 | Total Access Urgent Care, PC | Family Medicine | 3871 Mexico Rd, Saint Charles, MO 63303-3042 | 2014-09-03 |
| 1154687077 | Elizabeth H Maylack | Family Medicine | 1551 Wall St Ste 400, Saint Charles, MO 63303-3541 | 2012-04-04 |
| 1164793360 | George William Pappas | Family Medicine | 525 Tyler Rd Ste J, Saint Charles, IL 60174-3363 | 2012-01-19 |
| 1407940513 | Hemalini Thakkar | Family Medicine | 2015 Dean St, #2, Saint Charles, IL 60174-1577 | 2006-10-03 |
| 1801903463 | Natan Lvovitch Khotianov | Family Medicine | 12 Tristan Ter, Saint Charles, MO 63303-4207 | 2006-08-23 |
| 1639180631 | Ssm Depaul Medical Group, Inc. | Family Medicine | 1821 Sherman Dr, Saint Charles, MO 63303-3984 | 2006-08-11 |
| 1235173378 | Dr. Eischen Clinic, P. C. | Family Medicine | 106 West Main Street, Suite 267, Saint Charles, IA 50240-0267 | 2006-06-16 |
| 1114977725 | Renato Siazon Lee | Family Medicine | 611 W Belle Ave, Saint Charles, MI 48655-1611 | 2006-05-12 |
| 1013981109 | Steven B Livingstone | Family Medicine | 711 Veterans Memorial Pkwy Ste 300, Saint Charles, MO 63303-2106 | 2006-02-15 |
| Find all providers in SAINT CHARLES | ||||
| City | SAINT CHARLES |
| Zip Code | 60174 |
Please comment or provide details below to improve the information on JEFFREY EDWIN NIELSEN.
| 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.