JEFFREY C NEILSON (NPI# 1265431522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265431522 |
| Entity Type | Individual |
| Full Name | JEFFREY C NEILSON |
| Credential | MD |
| Practice Address |
1400 Bryan Dr Suite 304 Durant OK 74701-2156 |
| Mailing Address |
1400 Bryan Dr Ste 300 Durant OK 74701-2158 |
| Practice Telephone | 5809312278 |
| Practice Fax Number | 5809312274 |
| Mailing Telephone | 5809312278 |
| Mailing Fax Number | 5809312274 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2020-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | G8932 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100113510A | 05 | |
| TX | 1027849-01 | 05 | |
| AR | 117301001 | 05 |
| Street Address |
1400 BRYAN DR SUITE 304 |
| City | DURANT |
| State | OK |
| Zip Code | 74701-2156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275900763 | Texoma Pain Management Specialist Pllc | Anesthesiology | 1400 Bryan Dr, Ste 306, Durant, OK 74701-2156 | 2015-08-31 |
| 1093103152 | Jodi Robinson | Nurse Practitioner | 1400 Bryan Dr, Suite 303, Durant, OK 74701-2156 | 2014-12-24 |
| 1790022770 | Osu Center for Health Scienses | Clinic/Center | 1400 Bryan Dr, Suite 300, Durant, OK 74701-2156 | 2013-01-10 |
| 1386990067 | Durant Hma Physician Management, LLC | Surgery | 1400 Bryan Dr, Suite 203, Durant, OK 74701-2156 | 2012-07-31 |
| 1750637427 | Durant Hma Physician Management, LLC | Urology | 1400 Bryan Dr, Suite 303, Durant, OK 74701-2156 | 2012-07-31 |
| 1457607137 | Durant Hma Physician Management, LLC | Orthopaedic Surgery | 1400 Bryan Dr, Suite 304, Durant, OK 74701-2156 | 2012-07-31 |
| 1013263789 | Durant Hma Physician Management, LLC | Obstetrics & Gynecology | 1400 Bryan Dr, Suite 200, Durant, OK 74701-2156 | 2012-07-31 |
| 1922354604 | Durant Hma Physician Management, LLC | Pediatrics | 1400 Bryan Dr, Suite 201, Durant, OK 74701-2156 | 2012-07-31 |
| 1568718245 | Durant Hma Physician Management, LLC | Ophthalmology | 1400 Bryan Dr, Suite 202, Durant, OK 74701-2156 | 2012-07-31 |
| 1275889941 | Durant Hma Physician Management, LLC | Nurse Practitioner | 1400 Bryan Dr, Suite 301, Durant, OK 74701-2156 | 2012-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738362 | Elevate Therapy, Pllc | Physical Therapist | 523 N Wshington Ave, Durant, OK 74701 | 2020-07-23 |
| 1093334906 | Duncan Kovash | Nurse Practitioner | 1901 Chukka Hina, Durant, OK 74701 | 2020-04-10 |
| 1184193690 | Inventive Therapy Services, LLC | Occupational Therapist | 2620 Maxey Dr, Durant, OK 74701 | 2018-11-14 |
| 1790271831 | Jazmine Gabrielle Benavidez | Specialist/Technologist | 1713 North 1st Avenue, Durant, OK 74701 | 2018-07-02 |
| 1538659586 | Katelen Sue Morgan | Case Manager/Care Coordinator | 1011 Donna Sue Pl, Durant, OK 74701 | 2018-05-15 |
| 1164941035 | Nsight for Life LLC | Community/Behavioral Health | 1313 N 16th, Durant, OK 74701 | 2017-09-12 |
| 1023534666 | Damon Dye | Physical Therapist | 30 W 3rd St, Durant, OK 74701 | 2017-08-15 |
| 1437605250 | Casey Worsham | Nurse Practitioner | 1800 W University, Durant, OK 74701 | 2016-08-31 |
| 1083160857 | Denise Adanho | Case Manager/Care Coordinator | 1218 Stonebrook Circle, Durant, OK 74701 | 2016-08-31 |
| 1962850271 | Justi Thompson | Case Manager/Care Coordinator | 4817 Ciara St, Durant, OK 74701 | 2016-05-26 |
| Find all providers in zip 74701 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922012772 | Christopher James Leslie | Orthopaedic Surgery | 1400 Bryan Dr Ste 300, Durant, OK 74701-2158 | 2006-07-28 |
| 1144267220 | Donald W Malone Md PC | Orthopaedic Surgery | 1705 N Washington Ave, Suite C, Durant, OK 74701-2100 | 2006-05-31 |
| 1245216191 | Kenny M. Grider | Orthopaedic Surgery | 1805 W University Blvd, Durant, OK 74701-3011 | 2005-12-21 |
| 1730435413 | Durant Hma Physician Management, LLC | Orthopaedic Surgery | 1805 W University Blvd, Durant, OK 74701-3011 | 2012-07-31 |
| 1457607137 | Durant Hma Physician Management, LLC | Orthopaedic Surgery | 1400 Bryan Dr, Suite 304, Durant, OK 74701-2156 | 2012-07-31 |
| 1366481475 | Durant Hma Inc | Orthopaedic Surgery | 1400 Bryan Dr, Suite 306, Durant, OK 74701-2156 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564343 | Murray State College | Orthopaedic Surgery | 1 Murray Campus St, Tishomingo, OK 73460-3137 | 2020-10-05 |
| 1962011999 | Upper Extremity Orthopedic Specialists Pllc | Orthopaedic Surgery | 2448 E 81st St Ste 200, Tulsa, OK 74137-4250 | 2020-07-27 |
| 1891323143 | Austin James Cantrell | Orthopaedic Surgery | 800 Stanton L Young Blvd # 3400, Oklahoma City, OK 73104-5018 | 2020-03-31 |
| 1578103727 | Curry Orthopedics and Sports Medicine Pllc | Orthopaedic Surgery | 919 Colony Drive, Ada, OK 74820 | 2020-01-15 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| 1942703665 | Northeast Oklahoma Spine and Sports LLC | Orthopaedic Surgery | 6048a S Sheridan Rd, Tulsa, OK 74145-9212 | 2018-03-09 |
| 1194262097 | Essential Integrative Health Pllc | Orthopaedic Surgery | 9060 Harmony Dr Ste B, Midwest City, OK 73130-6253 | 2017-01-30 |
| 1679023170 | Bobby Doyce Anthony | Orthopaedic Surgery | 2026 S Walking Trail Dr, Stillwater, OK 74074-1358 | 2016-10-07 |
| 1952764169 | Doc LLC | Orthopaedic Surgery | 3130 Sw 89th St Ste 200e, Oklahoma City, OK 73159 | 2016-04-04 |
| 1306211982 | Oklahoma Sports and Orthopedics Institute Pllc | Orthopaedic Surgery | 1624 Midtown Pl, Suite A, Midwest City, OK 73130-6347 | 2015-12-08 |
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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.