MARC NIELSEN (NPI# 1265601207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265601207 |
| Entity Type | Individual |
| Full Name | MARC NIELSEN |
| Credential | DO |
| Practice Address |
795 Joaquin St Susanville CA 96130-3628 |
| Mailing Address |
Po Box 476 Chester CA 96020-0476 |
| Practice Telephone | 5302572542 |
| Mailing Telephone | 9253245062 |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2018-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20A 10672 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1800 Spring Ridge Dr, Susanville, CA 961306100 | 5302522000 | |
| 500 1st Ave, Portola, CA 961229406 | 5308326500 |
| Street Address |
795 JOAQUIN ST |
| City | SUSANVILLE |
| State | CA |
| Zip Code | 96130-3628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275539793 | Lassen Indian Health Center | Clinic/Center | 795 Joaquin St, Susanville, CA 96130-3628 | 2005-06-21 |
| 1538669502 | Mary Jane Webb | Licensed Vocational Nurse | 795 Joaquin St, Susanville, CA 96130-3628 | 2018-02-16 |
| 1881123412 | Debra Marsino | Dental Hygienist | 795 Joaquin St, Susanville, CA 96130-3628 | 2017-06-07 |
| 1710424163 | Debra K. Sokol | Registered Nurse | 795 Joaquin St, Susanville, CA 96130-3628 | 2017-01-24 |
| 1245773803 | Frederick Boyd Autenrieb | Pharmacist | 795 Joaquin St, Susanville, CA 96130-3628 | 2016-11-29 |
| 1447612627 | Nicolas Milligan | Family Medicine | 795 Joaquin St, Susanville, CA 96130-3628 | 2016-03-25 |
| 1114384229 | Melissa Leilani Garnett | Nurse Practitioner | 795 Joaquin St, Susanville, CA 96130 | 2016-01-20 |
| 1407193170 | Terri Kathleen O'bryan | Social Worker | 795 Joaquin St, Susanville, CA 96130-3628 | 2013-01-14 |
| 1851675367 | Frank R Brower | Pharmacist | 795 Joaquin St, Attn. Pharmacy, Susanville, CA 96130-3628 | 2011-10-03 |
| 1124233408 | June Lounette Glenn-lawson | Family Medicine | 795 Joaquin St, Susanville, CA 96130-3628 | 2007-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932753456 | Shaughn Randall Whittaker | Nurse Practitioner | 1860 Paul Bunyan Rd, Susanville, CA 96130 | 2019-08-01 |
| 1871980847 | Katie Gaffney | Acupuncturist | 1850 Spring Ridge Dr., Susanville, CA 96130 | 2015-04-17 |
| 1952678435 | Linda Vixie | Dentist | 3020 Johnstonville Rd., Susanville, CA 96130 | 2011-11-28 |
| 1942503057 | Pamela Sue Vallalvazo | Counselor | 1445 Paul Bunyon Rd., Susanville, CA 96130 | 2010-12-10 |
| 1255631883 | Jessica Smyth | Counselor | 1400 Chestnut Street # A, Susanville, CA 96130 | 2010-10-29 |
| 1295045276 | Danielle Hardy | Counselor | 1400 Chestnut Street Suite A, Susanville, CA 96130 | 2010-10-08 |
| 1982921417 | Ronald Spencer Tucker Jr. | Counselor | 4119 Johnstonville Road, #270503, Susanville, CA 96130 | 2010-04-23 |
| 1609107945 | Timothy J Nolan | Psychologist | 803 1/2 Main St., Suite 104, Susanville, CA 96130 | 2010-01-27 |
| 1528243649 | Daniel Martin Bruce | Case Manager/Care Coordinator | 720-a Richmond Road, Susanville, CA 96130 | 2008-01-08 |
| 1679757785 | Michael Charles Giddings | Dentist | 475 Rice Canyon Rd, Susanville, CA 96130 | 2007-12-26 |
| Find all providers in zip 96130 | ||||
| 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 |
|---|---|---|---|---|
| 1164627410 | Glenn W James | Family Medicine | 475-750 Rice Canyon Road High Desert State Prison, Susanville, CA 96127-0750 | 2007-06-18 |
| 1902948219 | Siuming Stephen Wong | Family Medicine | 711-045 Center Rd., Susanville, CA 96130-0790 | 2007-02-13 |
| 1326159633 | Kenneth G Korver | Family Medicine | 575 Hospital Ln, Susanville, CA 96130-4808 | 2006-08-31 |
| 1437156866 | Samuel Richard Carlton | Family Medicine | 1850 Spring Ridge Dr, Susanville, CA 96130-6100 | 2005-06-30 |
| 1629421797 | Riaz Medical Group Inc | Family Medicine | 1800 Spring Ridge Dr, Susanville, CA 96130-6100 | 2016-07-13 |
| 1447612627 | Nicolas Milligan | Family Medicine | 795 Joaquin St, Susanville, CA 96130-3628 | 2016-03-25 |
| 1366837163 | Kimberly Louise Clinite | Family Medicine | 1850 Spring Ridge Dr, Susanville, CA 96130-6100 | 2015-03-30 |
| 1487093076 | Timothy S Eckford | Family Medicine | 1850 Spring Ridge Dr, Susanville, CA 96130-6100 | 2013-06-18 |
| 1467702688 | Jay M Beams Md Inc | Family Medicine | 701 Nevada St, Susanville, CA 96130-3912 | 2012-09-14 |
| 1528353323 | Rachel L Petersen | Family Medicine | 1850 Spring Ridge Dr, Susanville, CA 96130-6100 | 2011-06-09 |
| Find all providers in SUSANVILLE | ||||
| City | SUSANVILLE |
| Zip Code | 96130 |
Please comment or provide details below to improve the information on MARC 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.