DOUGLAS T NELSEN (NPI# 1609803600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609803600 |
| Entity Type | Individual |
| Full Name | DOUGLAS T NELSEN |
| Credential | MD |
| Practice Address |
834 Sheridan St Port Townsend WA 98368-2443 |
| Mailing Address |
505 S 336th St Suite 600 Federal Way WA 98003-6328 |
| Practice Telephone | 3603851252 |
| Practice Fax Number | 3603351252 |
| Mailing Telephone | 2538386180 |
| Mailing Fax Number | 2538386418 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2016-12-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
MD00027873 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | BSWA | 1081NE | 01 |
| WA | 8153439 | 05 |
| Street Address |
834 SHERIDAN ST |
| City | PORT TOWNSEND |
| State | WA |
| Zip Code | 98368-2443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629054333 | Marilyn Suzanne Eaton | Physician Assistant | 834 Sheridan St, Port Townsend, WA 98368-2443 | 2005-12-15 |
| 1790390904 | Karen Anne Mullen | Dietitian, Registered | 834 Sheridan St, Port Townsend, WA 98368-2443 | 2020-09-14 |
| 1063044477 | Stella Aragon Poe | Dental Hygienist | 834 Sheridan St, Port Townsend, WA 98368-2443 | 2020-02-04 |
| 1033758990 | Natalie Susan Irwin | Physical Therapist | 834 Sheridan St, Port Townsend, WA 98368-2443 | 2019-12-24 |
| 1346888740 | Helen Dailey-fallat | Physical Medicine & Rehabilitation | 834 Sheridan St, Port Townsend, WA 98368-2443 | 2019-12-16 |
| 1093367005 | Elizabeth Anne Yeater | Emergency Medicine | 834 Sheridan St, Port Townsend, WA 98368-2443 | 2019-07-10 |
| 1669930574 | Randall Troy Beck | Physician Assistant | 834 Sheridan St, Port Townsend, WA 98368-2443 | 2019-03-10 |
| 1235613647 | Caleb Ronald Cummins | Physical Therapist | 834 Sheridan St, Port Townsend, WA 98368-2443 | 2018-09-20 |
| 1215439989 | Heide Lynn Chaney | Nurse Practitioner | 834 Sheridan St, Port Townsend, WA 98368-2443 | 2018-03-08 |
| 1306351671 | Rachel Sverchek | Physician Assistant | 834 Sheridan St, Port Townsend, WA 98368-2443 | 2017-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730727827 | Ace It Employment & Transition Services LLC | Community/Behavioral Health | 1233 Lawrence Street, Port Townsend, WA 98368 | 2019-12-19 |
| 1942862792 | Peninsula Midwives | Midwife | 203 Pocket Lane, Port Townsend, WA 98368 | 2019-07-02 |
| 1700349461 | Kelle Gayelena Ronnfeldt | Nurse Practitioner | 844 West Park Ave, Port Townsend, WA 98368 | 2019-04-10 |
| 1841769031 | Richard Sankey Hansen | Counselor | 448 Hastings Ave, Port Townsend, WA 98368 | 2018-11-16 |
| 1255800595 | Alan P Brown | Counselor | 821 Mcpherson St, Port Townsend, WA 98368 | 2018-11-15 |
| 1699257873 | Megan E Smith | Counselor | 260 Kala Point Dr, Ste 99, Port Townsend, WA 98368 | 2018-09-04 |
| 1093297434 | Jacqueline Levin | Clinical Nurse Specialist | 234 Pond Road, Port Townsend, WA 98368 | 2018-09-02 |
| 1306335682 | Matthew D Hust | Physical Therapy Assistant | 751 Kearney Street, Port Townsend, WA 98368 | 2018-05-02 |
| 1306368238 | Michael Ozar | Psychologist | 1806 Walnut Street, Port Townsend, WA 98368 | 2017-07-12 |
| 1336674076 | Yuko Umeda | Registered Nurse | 615 Sheridan Street, Port Townsend, WA 98368 | 2017-05-01 |
| Find all providers in zip 98368 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730108218 | Steven Hillman | Emergency Medicine | 2500 W Sims Way, Suite 1, Port Townsend, WA 98368-2234 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316422454 | Cmdpn Medical Group of Washington, P.C. | Emergency Medicine | 707 West Main Ave. Ste B1, Pmb 117, Spokane, WA 99201 | 2018-09-25 |
| 1740713627 | Anthony Warfield | Emergency Medicine | 120 Republican St, #404, Seattle, WA 98109-4745 | 2017-04-06 |
| 1083877559 | Lisa Marie Wilson | Emergency Medicine | 925 Seneca St., Mailstop H6-ed, Virginia Mason Medical Center, Seattle, WA 98101 | 2008-07-05 |
| 1467574863 | Mark Urmanski | Emergency Medicine | 3700 Martin Way E, Suite 108, Olympia, WA 98506-5052 | 2007-04-04 |
| 1790805190 | Cascade Urgent Care, Inc., Ps | Emergency Medicine | 1413 S 348th Street, L106, Federal Way, WA 98003-8373 | 2007-03-30 |
| 1508952060 | John R. Knudsen | Emergency Medicine | 6046 Portal Way, Ste 103, Ferndale, WA 98248-7829 | 2006-10-04 |
| 1376574160 | Jeffrey Philip Roger | Emergency Medicine | 2005 Nw Sammamish Road, Issaquah, WA 98027 | 2006-07-06 |
| 1750329777 | Stephani J. Amstadter | Emergency Medicine | 5920 - 100th St. Sw #31, Lakewood, WA 98499-2751 | 2006-06-03 |
| 1922059187 | Stephen E Pohl | Emergency Medicine | Hpo 1, Boone Road, Navy Hospital, Bremerton, WA 98312 | 2006-05-13 |
| 1871569012 | Steven Temerlin | Emergency Medicine | 1717 South J Street, Tacoma, WA 98405-4933 | 2006-02-27 |
| Find all providers with the same taxonomy | ||||
| City | PORT TOWNSEND |
| Zip Code | 98368 |
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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.