JONATHAN D NELSON


Address: 555 W Sr 164, Salem, UT 84653
Phone: 8014654813

JONATHAN D NELSON (NPI# 1265882070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265882070
Entity Type Individual
Full Name JONATHAN D NELSON
Credential PA-C
Practice Address 555 W Sr 164
Salem
UT 84653
Mailing Address 1055 N 500 W
Attn: Credentialing
Provo
UT 84604-3305
Practice Telephone 8014654813
Practice Fax Number 8018125433
Mailing Telephone 8013548225
Mailing Fax Number 8014180941
Enumeration Date 2016-06-13
Last Update Date 2020-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 10406360-1206 UT Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant 3752-23 WI Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1055 N 500 W Ste 212, Provo, UT 846043305 8014654813 8018125433

Other Providers JONATHAN NELSON

NPI Name Taxonomy Address Enumeration
1003112269 Jonathan Nelson Registered Nurse 704 Sara Cir, Marshall, MN 56258-2132 2011-02-07
1497982151 Jonathan Scott Nelson Counselor 129 Phelps Ave Ste 204, Rockford, IL 61108-2447 2009-06-19
1306408885 Jonathan Ray Nelson Physical Therapy Assistant 1401 E State St, Rockford, IL 61104-2315 2019-07-03
1629550744 Jonathan Richard Nelson IIi Counselor 900 N Swallow Tail Dr Ste 105, Port Orange, FL 32129-6103 2018-09-05
1205340981 Jonathan Michael Nelson Registered Nurse 3873 N Parkview Dr, Fayetteville, AR 72703-6286 2017-11-17
1043633407 Jonathan V Nelson Counselor 233 Gooding St N, Twin Falls, ID 83301-6179 2014-01-21
1801237920 Jonathan Eugene Nelson Dentist 3700 S Russell St, Ste. #116, Missoula, MT 59801-8574 2013-07-17
1942561329 Jonathan Paul Nelson Acupuncturist 2831 Telegraph Ave, Oakland, CA 94609-3649 2012-06-02
1285991851 Jonathan Scott Nelson Urology Msc 10 5610, 1 University of New Mexico, Albuquerque, NM 87131-0001 2012-04-19
1194933812 Jonathan Campbell Nelson Surgery 2727 W Holcombe Blvd, Houston, TX 77025-1669 2007-05-18

Office Location

Street Address 555 W SR 164
City SALEM
State UT
Zip Code 84653

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104875574 Tala'at Al-shuqairat Internal Medicine 555 W Sr 164, Salem, UT 84653-1666 2006-05-10
1598235798 Jonathan Rudy Brown Physician Assistant 555 W Sr 164, Salem, UT 84653 2018-11-29
1417430497 Whitney Mccoy Physician Assistant 555 W Sr 164, Salem, UT 84653 2018-09-14
1467955526 Tye Frank Johnson Physician Assistant 555 W Sr 164, Salem, UT 84653 2018-03-15
1861912693 Sarah Larsen Physical Therapist 555 W Sr 164, Salem, UT 84653 2017-06-22
1528426988 Alex S Moore Physical Therapist 555 W Sr 164, Salem, UT 84653 2016-02-01
1205224276 Shawn Stephen Hill Physician Assistant 555 W Sr 164, Salem, UT 84653-1635 2014-12-29
1528461019 Lindsey Kenz Seaver Physician Assistant 555 W Sr 164, Salem, UT 84653-1635 2014-09-29
1073930020 Seth James Coynor Pediatrics 555 W Sr 164, Salem, UT 84653 2014-03-27
1689003550 Central Utah Clinic, P.C. Clinic/Center 555 W Sr 164, Salem, UT 84653 2013-11-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487008603 Douglas Robert Clark Optometrist 446 N State Road 198, Salem, UT 84653 2016-04-14
1811357791 Melanie Pace Dental Hygienist 818 East 750 South, Salem, UT 84653 2016-03-04
1265773899 Bill Clifford Marshall Marriage & Family Therapist 405 S Maple Dr, Woodland Hills, UT 84653 2013-03-06
1013159995 Elder Assisted Living LLC Assisted Living Facility 1015 S 550 W, Salem, UT 84653 2009-03-24
1780884247 David Kent Hansen Dentist 204 East 400 North, Suite A, Salem, UT 84653 2007-07-23
1154524965 Justin Thomas Perry Dentist 40 South 200 West, Salem, UT 84653 2007-06-08
1013130947 John E Braithwaite Dentist 40 S 200 W, Salem, UT 84653 2007-04-10
1104972827 Salem City Corporation Ambulance 30 W 100 S, Salem, UT 84653 2007-01-26
1700989209 James Bryan Bonny Dentist 245 W State Hwy 198, Suite 6, Salem, UT 84653 2006-09-07
1578574570 Kids Who Count Day Training, Developmentally Disabled Services 345 N Sr 198, Salem, UT 84653 2006-08-11
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699374660 Sarah Ilana Katz Physician Assistant 11a Laurel St, Salem, MA 01970-4657 2020-10-21
1306444641 Zachary Wright Physician Assistant 11 Harley Ln, Salem, NH 03079-2888 2020-10-09
1174132195 Andrew Yosim Physician Assistant 1750 Pexton Ave, Salem, VA 24153-4108 2020-07-27
1689202269 Adam Joyce Physician Assistant 1005 Meadowrun Ct, Salem, VA 24153-6687 2020-03-30
1417504085 Alexis Marie Biewend Physician Assistant 1645 Waln Dr Se Apt 263, Salem, OR 97306-2963 2019-08-19
1497309322 Lindsey Ann Castleberry Physician Assistant 1111 Meadow Sage Cir, Salem, UT 84653-5578 2019-07-29
1134773450 Jillian Netland Physician Assistant 6507 Lipscomb St Se, Salem, OR 97317-9513 2019-07-25
1457827354 Gretchen Amrien Physician Assistant 4 Bypass Rd Ste 201, Salem, NJ 08079-2053 2018-10-17
1649751934 Matthew Hansen Physician Assistant 875 Oak St. Se Ste 5020, Salem, OR 97301 2018-08-24
1487152948 Jessica Lynn Brooks Physician Assistant 875 Oak St Se Ste 5060, Salem, OR 97301 2018-01-30
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Competitor

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City SALEM
Zip Code 84653

Improve Information

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Dataset Information

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.

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