EDWARD THOMAS NELSON (NPI# 1306231006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306231006 |
| Entity Type | Individual |
| Full Name | EDWARD THOMAS NELSON |
| Credential | M.D. |
| Practice Address |
5121 S Cottonwood St Murray UT 84107-5701 |
| Mailing Address |
Po Box 571117 Slc UT 84157-1117 |
| Practice Telephone | 8015079700 |
| Mailing Telephone | 8015079700 |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2020-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 10714568-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3181 Sw Sam Jackson Park Rd, Portland, OR 972393011 | 5034948211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720085459 | Edward I Nelson | Anesthesiology | 7691 5 Mile Rd Ste 10, Suite 270, Cincinnati, OH 45230-4348 | 2005-07-07 |
| 1760095509 | Edward Nicolas Nelson | Student in an Organized Health Care Education/Training Program | 22639 Euclid Ave, Euclid, OH 44117-1622 | 2020-08-30 |
| 1760727028 | Edward F Nelson | Military Health Care Provider | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2012-11-27 |
| 1881823433 | Edward Max Nelson | Counselor | 3028 Communications Pkwy Ste 300, Plano, TX 75093-8914 | 2009-07-03 |
| 1386879633 | Edward L Nelson Jr. | Military Health Care Provider | 559 Vincent St, Colorado Springs, CO 80914-1541 | 2009-05-15 |
| 1134339864 | Edward A Nelson | Dentist | 11409 Ash St, Suite A, Leawood, KS 66211-1682 | 2007-05-23 |
| 1922137389 | Edward James Nelson | Dentist | 2501 N Glebe Rd, Suite 100, Arlington, VA 22207-3558 | 2007-03-03 |
| 1518057124 | Edward W. Nelson | Surgery | 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 | 2006-10-13 |
| 1750304440 | Edward P Nelson | Dentist | 709 Main St, Osterville, MA 02655-1903 | 2006-07-25 |
| 1407886831 | Edward Arnold Nelson | Family Medicine | 1001 S George St Bldg Mkb, York, PA 17403-3676 | 2006-07-03 |
| Street Address |
5121 S COTTONWOOD ST |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-5701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609873595 | Sarah Dawn Majercik | Surgery | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2005-07-07 |
| 1093312183 | Cherysh Hubbard Stock | Obstetrics & Gynecology | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-10-02 |
| 1922605062 | Sydney Schuessler | Occupational Therapist | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-10-01 |
| 1790398931 | Elayne Manuela Pereira | Physical Therapist | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-08-27 |
| 1205449436 | Jared Hunt | Physical Therapist | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-08-27 |
| 1386256428 | Sarah Emily Boyt | Dietitian, Registered | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-08-19 |
| 1972111417 | Megan Neiheiser | Occupational Therapist | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-07-21 |
| 1114535515 | Cory Ray Briggle | Occupational Therapist | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-07-21 |
| 1528676509 | Melanie Nicole Emmerson | Genetic Counselor, MS | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-07-16 |
| 1205452844 | Kendall Snyder | Genetic Counselor, MS | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144465402 | Jennifer Holt Edwards | Emergency Medicine | Intermountain Medical Center, Critical Care Medicine, 5121 Cottonwood Street, Murray, UT 84107 | 2008-12-15 |
| 1013187525 | Kyle Andrews Gardner | Emergency Medicine | 5171 S Cottonwood St Ste 740, Murray, UT 84107-5705 | 2008-03-11 |
| 1255304408 | Lisa Doyle | Emergency Medicine | 5770 Fashion Blvd, Murray, UT 84107-6548 | 2006-02-08 |
| 1609359413 | Jennifer Mason | Emergency Medicine | 803 Poplar St, Murray, KY 42071-2432 | 2018-09-09 |
| 1730686668 | Kari Potter | Emergency Medicine | 5171 S Cottonwood St Ste 740, Murray, UT 84107 | 2018-04-08 |
| 1336679430 | John Christopher Jacobs Jr. | Emergency Medicine | 5171 S Cottonwood St Ste 740, Murray, UT 84107-5705 | 2017-06-13 |
| 1902268493 | Anne Porter | Emergency Medicine | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2016-03-23 |
| 1700262524 | Robert Brickley | Emergency Medicine | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2015-08-04 |
| 1215324025 | Kristina Evans | Emergency Medicine | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2015-04-20 |
| 1760802250 | James Robert Price | Emergency Medicine | 5121 S Cottonwood St, Murray, UT 84107 | 2014-04-23 |
| Find all providers in MURRAY | ||||
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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.