NEIL R NELSON


Address: 8 Doctors Park, Gibson City, IL 60936-2000
Phone: 2177848580

NEIL R NELSON (NPI# 1386637106) 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) 1386637106
Entity Type Individual
Full Name NEIL R NELSON
Credential MD
Practice Address 8 Doctors Park
Gibson City
IL 60936-2000
Practice Telephone 2177848580
Practice Fax Number 2177848586
Mailing Telephone 2177848580
Mailing Fax Number 2177848586
Enumeration Date 2005-08-26
Last Update Date 2013-09-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 036085035 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL NGS IL5248 01
IL 363964866001 1 05
IL 036085035 1 05

Office Location

Street Address 8 DOCTORS PARK
City GIBSON CITY
State IL
Zip Code 60936-2000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154702181 Gibson Community Hospital Association Clinic/Center 8 Doctors Park, Gibson City, IL 60936-2000 2015-06-16
1972984995 Gibson Community Hospital Association Clinic/Center 8 Doctors Park, Gibson City, IL 60936-2000 2015-06-16
1295906667 Neil R Nelson Md Internal Medicine 8 Doctors Park, Gibson City, IL 60936-2000 2008-03-13
1205992906 Anne-marie R Richmond Physician Assistant 8 Doctors Park, Gibson City, IL 60936-2000 2006-12-28
1861568933 Omar Geada Internal Medicine 8 Doctors Park, Gibson City, IL 60936-2000 2006-11-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073738738 Carrie Ann Lithgow Physical Therapist 109 N. Sangamon Ave, Gibson City, IL 60936 2007-04-16
1144359001 Kerrie Ann Patrick Registered Nurse 222 N Sangamon, Gibson City, IL 60936 2007-03-05
1578612800 Donna J Boundy Dentist 627 E 8th St, Gibson City, IL 60936 2007-01-09
1093878241 Drew Curtis Duquette Chiropractor 523 and One Half South Sangamon Ave, Gibson City, IL 60936 2006-12-19
1386727642 Amnuay Sethakorn Family Medicine 4 Doctors Park, Gibson City, IL 60936 2006-10-23
1689687295 Alexander V Grandt Nurse Practitioner 1120 N Melvin, Gibson Area Hospital & Health Services, Gibson, IL 60936 2006-08-14
1811125784 Gibson Community Hospital Association Surgery 1 Doctors Park, Gibson City, IL 60936 2009-06-30
1295991701 Trilok Shah Psychiatry & Neurology 4 Doctors Park, Gibson City, IL 60936 2008-08-04
1013050046 Rebecca Anne Wildermuth Specialist/Technologist 10 Doctors Park, Gibson City, IL 60936 2007-02-15
1245312602 Ginny E Pulley Licensed Practical Nurse 222 N Sangamon Ave, Gibson City, IL 60936 2006-10-19
Find all providers in zip 60936

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295906667 Neil R Nelson Md Internal Medicine 8 Doctors Park, Gibson City, IL 60936-2000 2008-03-13
1841496783 Srinu Takkallapalli Internal Medicine 1120 N Melvin St, Gibson City, IL 60936-1477 2007-06-26
1861568933 Omar Geada Internal Medicine 8 Doctors Park, Gibson City, IL 60936-2000 2006-11-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1962002832 Coleman Clinic, Inc. Internal Medicine 1893 Daimler Rd Ste A, Rockford, IL 61112-1081 2020-10-29
1922606193 Thatiana Carolina Schulze Goni Internal Medicine 5924 N Lincoln Ave Apt 205, Chicago, IL 60659-3736 2020-10-11
1447866579 Jashan Gill Internal Medicine 3707 Doty Rd Ste Eandf, Woodstock, IL 60098-7530 2020-09-23
1649884636 Maria Detolve Donoghue Internal Medicine 905 Eldorado St, Winnetka, IL 60093-1951 2020-09-07
1750995742 Eva Bartaula Internal Medicine 1500 S Fairfield Ave # 3, Chicago, IL 60608-1782 2020-09-07
1750994513 Ranjit Babu Jasaraj Internal Medicine 1500 S Fairfield Ave # F-914, Chicago, IL 60608-1782 2020-08-30
1871106005 Vijay Ketan Reddy Internal Medicine 1500 S Fairfield Ave Dept Roomf914, Chicago, IL 60608-1782 2020-08-27
1144839739 Sandhya Shri Kannayiram Internal Medicine 1901w Harrison Street, Chicago, IL 60612 2020-07-29
1417566084 Avani Sushilkumar Mohta Internal Medicine Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 2020-07-29
1659989937 Consultant Physicians Internal Medicine 580 Bankview Dr, Frankfort, IL 60423-1382 2020-07-22
Find all providers with the same taxonomy

Competitor

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City GIBSON CITY
Zip Code 60936

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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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