GALEN CARLOS NELSON (NPI# 1215926324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215926324 |
| Entity Type | Individual |
| Full Name | GALEN CARLOS NELSON |
| Other Name | GALEN CARLOS NELSON |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
74 Eclipse Ctr Beloit WI 53511-3550 |
| Mailing Address |
5708 83rd Pl Kenosha WI 53142-4731 |
| Practice Telephone | 6083616051 |
| Practice Fax Number | 6083616131 |
| Mailing Telephone | 2629428375 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2008-12-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1133-023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
085-001248 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073927026 | Galen Nelson | Anesthesiology | 984150 Nebraska Medical Ctr, Omaha, NE 68198-4150 | 2014-06-18 |
| Street Address |
74 ECLIPSE CTR |
| City | BELOIT |
| State | WI |
| Zip Code | 53511-3550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815594 | Lindsey Anderson | Social Worker | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2020-06-09 |
| 1639720980 | Tera Staffon | Dental Hygienist | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2019-09-26 |
| 1508322199 | Colleen Hogan | Dental Hygienist | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2019-02-19 |
| 1326512427 | Elizabeth Green | Dental Hygienist | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2019-01-11 |
| 1972076776 | Kimberly Bates | Dental Hygienist | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2019-01-04 |
| 1982170973 | Shanleigh Bechard | Counselor | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2018-10-17 |
| 1316443351 | John Tran | Dentist | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2018-03-30 |
| 1578069522 | Thad Regenold | Registered Nurse | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2018-03-30 |
| 1588194229 | Katie Wilson | Dentist | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2017-06-15 |
| 1609306752 | Naheed Ahmad | Dentist | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2017-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738485 | Linda Lee Cook | Technician | 914 Cranston Rd., Beloit, WI 53511 | 2019-09-05 |
| 1033773734 | Holistic Counseling Services, LLC | Counselor | 1517 Huebbe Parkway, Ste A, Beloit, WI 53511 | 2019-04-28 |
| 1578073870 | Bonita May Cooke | Counselor | 838 Grant St., Beloit, WI 53511 | 2017-10-02 |
| 1679091219 | Stacy Lynn Gallagher | Licensed Practical Nurse | 1060 Bittel St, Beloit, WI 53511 | 2017-09-04 |
| 1629448824 | Brenda Jean Allen | Registered Nurse | 2907 E. Leona Drive, Beloit, WI 53511 | 2015-09-30 |
| 1033595038 | Amber Noel Slaybaugh | Physical Therapist | 838 E. Azalea Ter., Beloit, WI 53511 | 2015-08-03 |
| 1407260326 | Quirt Family Dentistry, Sc | Dentist | 2777 Milwaukee Rd, Beloit, WI 53511 | 2014-06-18 |
| 1821436973 | Raymond K Spade | Counselor | 2240 Prairie Ave., Beloit, WI 53511 | 2013-06-11 |
| 1629321658 | Sarah Ann Nelson | Physical Therapist | 1905 W. Hart Road, Beloit, WI 53511 | 2012-10-15 |
| 1235494212 | Mary Ann Hudson | Nurse Practitioner | 700 College Street, Beloit College, Beloit, WI 53511 | 2012-07-06 |
| Find all providers in zip 53511 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770882748 | Paula B Riebe | Physician Assistant | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2011-03-16 |
| 1982912606 | Lindsay R. Rut | Physician Assistant | 1005 N Lincoln Ave, Beloit, KS 67420-1215 | 2010-09-15 |
| 1417262528 | Nancy Moe Johnson | Physician Assistant | 1905 E Huebbe Pkwy, Beloit Clinic, Beloit, WI 53511-1842 | 2010-08-12 |
| 1073630711 | Vicki P. Smythe | Physician Assistant | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093348542 | Christopher Sean Lanctin | Physician Assistant | 557 N 17th St Apt 310, Milwaukee, WI 53233-2128 | 2020-02-12 |
| 1750936068 | Javier Eugenio Font | Physician Assistant | 813 N Clover Ln, Cottage Grove, WI 53527-9433 | 2019-08-04 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1588225544 | Hannah Elizabeth Krum | Physician Assistant | S80w17784 Brennan Dr, Muskego, WI 53150-8828 | 2019-06-21 |
| 1255825162 | Katelyn Marie Frankwick | Physician Assistant | 1011 E Spruce St # 6, Abbotsford, WI 54405-9647 | 2018-06-15 |
| 1831644228 | Megan E Nelson | Physician Assistant | 221 E Mills Dr, Lake Mills, WI 53551-1910 | 2016-08-16 |
| 1356717904 | Amy Hermus | Physician Assistant | 451 Butternut Dr, Oregon, WI 53575-1349 | 2015-08-18 |
| 1497168066 | Alexander J Hill | Physician Assistant | 1111 North Road, Mauston, WI 53948-0700 | 2014-06-11 |
| 1487083242 | Andrew John Miller | Physician Assistant | 1521 Lakeview Ave, Wausau, WI 54401-6168 | 2013-11-02 |
| 1386944502 | Bethany Rose Yard | Physician Assistant | 18601 Lincoln Street, Whitehall, WI 54773 | 2010-10-22 |
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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.