DR. RICHARD LOY NIELSEN (NPI# 1619207941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619207941 |
Entity Type | Individual |
Full Name | DR. RICHARD LOY NIELSEN |
Credential | M.D. |
Practice Address |
11109 Parkview Plaza Dr Fort Wayne IN 46845-1701 |
Mailing Address |
3702 New Vision Dr Bldg B Fort Wayne IN 46845-1703 |
Practice Telephone | 2602662020 |
Practice Fax Number | 2602662009 |
Mailing Telephone | 2603739700 |
Mailing Fax Number | 2603739740 |
Enumeration Date | 2010-01-08 |
Last Update Date | 2017-12-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
01025422A | IN | Allopathic & Osteopathic Physicians |
N | 208M00000X | Hospitalist | 01025422A | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | R.R. MEDICARE | P00836701 | 01 |
IN | ANTHEM | 000000655794 | 01 |
IN | 100360270 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164071205 | Richard Grant Nielsen | Audiologist | 8102 W Grandridge Blvd Ste A, Kennewick, WA 99336-7157 | 2019-09-11 |
1538106125 | Richard Craig Nielsen | Family Medicine | 1021 Palm Brook Dr, Melbourne, FL 32940-1618 | 2006-06-01 |
1417955113 | Richard Nielsen | Podiatrist | 701 Nevada St, Susanville, CA 96130-3912 | 2005-07-07 |
1669770061 | Richard Mills Nielsen IIi | Social Worker | 12800 E Warren Ave, Detroit, MI 48215-2061 | 2011-03-09 |
1376716787 | Richard Page Nielsen | Physical Therapist | 52 N 1100 E, American Fork, UT 84003-2952 | 2008-04-07 |
1427183052 | Richard W Nielsen | Otolaryngology | 22 S 900 E, Salt Lake City, UT 84102-1307 | 2007-02-22 |
1831113273 | Richard C Nielsen | Internal Medicine | 6227 Frankfort Hwy, Benzonia, MI 49616-9654 | 2006-07-27 |
Street Address |
11109 PARKVIEW PLAZA DR |
City | FORT WAYNE |
State | IN |
Zip Code | 46845-1701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811994163 | Ramabrahmam Gullapalli | Anesthesiology | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2005-07-01 |
1548868375 | Lindsey Stangland | Social Worker | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-10-14 |
1417563594 | Angela Morales | Registered Nurse | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-09-23 |
1649883687 | Rachel Capito | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-08-28 |
1407467004 | Ashley Logan | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-08-17 |
1417568247 | Curtis Dale Stump Jr. | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-08-14 |
1013528496 | Christina Kay Ford | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-08-11 |
1174141709 | Zsanett Kormanyos | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-07-09 |
1265050025 | Allison Catherine Clemens | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-07-08 |
1821610056 | Elle Stronczek | Dietitian, Registered | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-05-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881154110 | Nancy Jean Ehmke | Clinical Nurse Specialist | 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2019-03-22 |
1043703903 | Kara Stackhouse | Nurse Practitioner | 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 | 2018-06-14 |
1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
1033668041 | Bhi Home Care, Inc. | In Home Supportive Care | 820 Mill Lake Road, Fort Wayne, IN 46845 | 2016-10-03 |
1467814939 | Austin Wyss | Specialist/Technologist | 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 | 2016-03-24 |
1154713584 | Ashley Whitcraft | Specialist/Technologist | 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 | 2015-02-23 |
1275975682 | Lakshmi Mohan Viji Das | Internal Medicine | 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 | 2013-07-26 |
1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
Find all providers in zip 46845 |
Taxonomy Code | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225684368 | Fort Wayne Vascular Care LLC | Internal Medicine | 1833 Magnavox Way # 100, Fort Wayne, IN 46804-1539 | 2019-08-14 |
1326319724 | Robert Wayne Dettmer | Internal Medicine | 2935 Ambleside Way, Fort Wayne, IN 46804-2443 | 2012-01-18 |
1801054358 | Maria Regina Valcarcel | Internal Medicine | 7836 W Jefferson Blvd Ste 101, Nephrology Associates of Northern Indiana, Fort Wayne, IN 46804-4178 | 2008-05-30 |
1013960269 | Greg R Johnson | Internal Medicine | 1900 Carew Street, Suite 3a, Fort Wayne, IN 46805-4765 | 2006-05-18 |
1710938592 | Swapna Joseph | Internal Medicine | 7836 W. Jefferson Blvd. Suite 101, Fort Wayne, IN 46804 | 2006-05-15 |
1396731212 | Guy Chadwick Asher Jr. | Internal Medicine | 7836 W Jefferson Blvd, Suite 101, Fort Wayne, IN 46804-4165 | 2005-09-26 |
1013203561 | Abdurrahman M Hamadah | Internal Medicine | 7836 W Jefferson Blvd Ste 101, Fort Wayne, IN 46804-4178 | 2011-06-23 |
1659531325 | Muhammad Ubaid Ullah | Internal Medicine | 11104 Parkview Circle Dr, S-330, Fort Wayne, IN 46845-1672 | 2008-06-16 |
1558460378 | Three Rivers Medical Associates, LLC | Internal Medicine | 7910 W Jefferson Blvd, Fort Wayne, IN 46804-4159 | 2006-09-21 |
1568416865 | Andrew W O'shaughnessy | Internal Medicine | 7836 W Jefferson Blvd, Suite 101, Fort Wayne, IN 46804-4165 | 2006-05-20 |
Find all providers in FORT WAYNE |
City | FORT WAYNE |
Zip Code | 46845 |
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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.