MICHAEL N NEILSON (NPI# 1386056752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386056752 |
| Entity Type | Individual |
| Full Name | MICHAEL N NEILSON |
| Credential | M.D. |
| Practice Address |
35 Medical Center Pkwy Augusta ME 04330-8160 |
| Practice Telephone | 2076214680 |
| Practice Fax Number | 2076224085 |
| Mailing Telephone | 2076214680 |
| Mailing Fax Number | 2076224085 |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2019-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD23218 | ME | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811946841 | Michael Gene Neilson | Dentist | 60th Dental Squadron, 101 Bodin Circle, Travis Afb, CA 94535 | 2006-05-08 |
| 1215457064 | Michael Neilson | Student in an Organized Health Care Education/Training Program | 984150 Nebraska Medical Ctr, Omaha, NE 68198-4150 | 2017-06-22 |
| 1306378823 | Michael K Neilson | Family Medicine | 475 W 940 N, Provo, UT 84604-3301 | 2017-04-03 |
| Street Address |
35 MEDICAL CENTER PKWY |
| City | AUGUSTA |
| State | ME |
| Zip Code | 04330-8160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134121171 | Eric W Barry | Specialist | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2005-08-10 |
| 1205433976 | Julie Cummings | Nurse Practitioner | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2020-10-06 |
| 1023630266 | Jamie Sue Boutin | Nurse Practitioner | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2020-05-11 |
| 1861026296 | Michelle Tocher | Advanced Practice Midwife | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2020-02-25 |
| 1831749167 | Ashley Ellis | Occupational Therapist | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2019-09-18 |
| 1104472083 | Dianna Alexander | Social Worker | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2019-08-15 |
| 1952957003 | Susan Noyes | Occupational Therapist | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2019-08-14 |
| 1154977635 | Andaria Crespi | Nurse Practitioner | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2019-08-12 |
| 1497309793 | Katie Lynn Bessey | Nurse Practitioner | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2019-07-25 |
| 1295394997 | Kyle Scherer | Occupational Therapist | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2019-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181877 | Renewal Family Center, LLC | Community/Behavioral Health | 10 Learners Drive, Augusta, ME 04330 | 2020-10-12 |
| 1134748759 | Chelsea Simone Koch | Registered Nurse | 1 Va Center, Department of Veterans Affairs, Augusta, ME 04330 | 2020-04-14 |
| 1790238442 | Nicole Lacrosse | Behavioral Analyst | 53 Hayden Rd, Augusta, ME 04330 | 2016-07-29 |
| 1093176844 | Richard J. Larrabee | Counselor | 312 Townhouse Road, Chelsea, ME 04330 | 2016-03-08 |
| 1376910984 | Sarah C. A. Tatlock | Social Worker | 41 Anthony Ave, Augusta, ME 04330 | 2015-08-31 |
| 1457728180 | Va Maine Health | General Acute Care Hospital | 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 | 2015-08-28 |
| 1043696842 | Megan Arsenault | Pharmacist | 403 Water Street, Augusta, ME 04330 | 2015-08-04 |
| 1205219987 | Trevor Holbert | Audiologist | 1 Va Center - Togus Va Medical Center, Audiology 126a, Augusta, ME 04330 | 2015-06-30 |
| 1659787836 | Hannah M. Pullen | Occupational Therapy Assistant | 12 Shuman Ave Ste 16, Augusta, ME 04330 | 2014-07-08 |
| 1831469899 | Tanya Bernadette Quarterman | Specialist | 153 Hospital St Ste 13, Augusta, ME 04330 | 2012-01-09 |
| Find all providers in zip 04330 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881863793 | Luis Suarez Jr. | Surgery | 2233 Richards Rd, Augusta, GA 30906-2837 | 2008-02-25 |
| 1659587269 | Charles Herman Wray | Surgery | 3115 Ramsgate Rd, Augusta, GA 30909-3323 | 2007-05-14 |
| 1912297557 | Mrinal Shukla | Surgery | 1120 15th St # Ba-4411, Augusta, GA 30912 | 2011-04-16 |
| 1083930812 | Alison Folger Ward | Surgery | 1120 15th St, Augusta, GA 30912-0004 | 2010-04-19 |
| 1265668271 | Steven M. Roth, M.d., P.C. | Surgery | 2101 Central Ave, Augusta, GA 30904-6706 | 2009-06-04 |
| 1104051754 | University Vascular Specialist, Inc. | Surgery | 818 Saint Sebastian Way, Suite 408, Augusta, GA 30901-2651 | 2009-05-27 |
| 1588829055 | Aaron Michael Hurd | Surgery | 630 13th St, Suite 250, Augusta, GA 30901-1015 | 2008-07-24 |
| 1689867897 | William S Hiltz | Surgery | 630 13th Street, Suite 250, Augusta, GA 30901-1017 | 2007-08-21 |
| 1932303815 | John Thomas Frederick | Surgery | 630 13th St, Suite 250, Augusta, GA 30901-1015 | 2007-06-13 |
| 1609096585 | Houman Tamaddon | Surgery | 1350 Walton Way, Augusta, GA 30901-2612 | 2007-04-26 |
| Find all providers in AUGUSTA | ||||
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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.