MATTHEW R NELSON (NPI# 1649221912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649221912 |
| Entity Type | Individual |
| Full Name | MATTHEW R NELSON |
| Credential | PA C |
| Practice Address |
2375 E Sunnyside Rd Ste J Idaho Falls ID 83404-8281 |
| Mailing Address |
2375 E Sunnyside Rd Suite J Idaho Falls ID 83404-8280 |
| Practice Telephone | 2085227246 |
| Practice Fax Number | 2085292620 |
| Mailing Telephone | 2085227246 |
| Mailing Fax Number | 2085292620 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2014-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA540 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 807285000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801377767 | Matthew Ryan Nelson | Nurse Practitioner | 1974 N 540 E, Orem, UT 84097-2360 | 2018-08-28 |
| 1649783648 | Matthew Nelson | Occupational Therapy Assistant | 13915 North Mopac Expressway, Suite 200, Austin, TX 78728 | 2017-11-13 |
| 1861800898 | Matthew Nelson | Behavioral Analyst | 1972 Nortstar Way #163, San Marcos, CA 92078 | 2014-07-22 |
| 1396161154 | Matthew Nelson | Marriage & Family Therapist | 2100 County Road 42 W, Burnsville, MN 55337-6913 | 2014-03-17 |
| 1003245986 | Matthew Nelson | Specialist/Technologist | 1818 Belleville Rd Sw, Roanoke, VA 24015-2708 | 2013-11-01 |
| 1376986075 | Matthew Gene Nelson | Military Health Care Provider | 212 Wintergreen Ln, Hubert, NC 28539-4659 | 2013-04-11 |
| 1922310929 | Matthew Taylor Nelson | Anesthesiology | 6018 Wagon Mount Ct, Saint Louis, MO 63129-4043 | 2010-07-07 |
| 1518152875 | Matthew E Nelson | Dentist | 7101 E Thomas Rd, Scottsdale, AZ 85251-6336 | 2007-09-10 |
| 1518049295 | Matthew Nelson | Chiropractor | 3231 Rucker Ave, Everett, WA 98201-4224 | 2006-10-20 |
| 1164537155 | Matthew Michael Nelson | Dentist | 29992 Hunter Rd, Ste 110, Murrieta, CA 92563 | 2006-08-20 |
| Street Address |
2375 E SUNNYSIDE RD STE J |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-8281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649753740 | Jared William Rickabaugh | Nurse Practitioner | 2375 E Sunnyside Rd Ste J, Idaho Falls, ID 83404-8281 | 2018-09-13 |
| 1992070809 | Pain Specialists of Idaho | Anesthesiology | 2375 E Sunnyside Rd Ste J, Idaho Falls, ID 83404-8281 | 2012-03-12 |
| 1659681534 | Manual Solutions Pllc | Physical Therapist | 2375 E Sunnyside Rd Ste J, Idaho Falls, ID 83404-8281 | 2010-10-13 |
| 1255449898 | High Valley Dermatology & Dermatologic Surgery, PC | Dermatology | 2375 E Sunnyside Rd Ste J, Idaho Falls, ID 83404-8281 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740646363 | Chad Coon | Physician Assistant | 3405 Merlin Dr, Idaho Falls, ID 83404-7430 | 2016-01-12 |
| 1023489085 | Kelly Meacham | Physician Assistant | 3389 Merlin Dr, Idaho Falls, ID 83404-7405 | 2015-10-15 |
| 1891188348 | Alan Adams | Physician Assistant | 3820 Crestwood Ln, Idaho Falls, ID 83404-4979 | 2015-03-09 |
| 1841460508 | Keri Martin | Physician Assistant | 3360 Washington Parkway, Suite 2, Idaho Falls, ID 83404-2271 | 2008-03-08 |
| 1073676805 | Monica J Nealis | Physician Assistant | 1550 Elk Creek Dr, Idaho Falls, ID 83404-8322 | 2006-12-19 |
| 1639248008 | Lori Ann Woodbury | Physician Assistant | 2327 Coronado St, Idaho Falls, ID 83404-7407 | 2006-11-07 |
| 1093803157 | Tiffany Christiansen | Physician Assistant | 150 Shoup Ave Ste 17, Idaho Falls, ID 83402-3653 | 2006-10-11 |
| 1730190935 | Roger Scott Malm | Physician Assistant | 740 S Woodruff Ave, Idaho Falls, ID 83401-5285 | 2006-08-11 |
| 1316985229 | Matthew J Merzlock | Physician Assistant | 3360 Washington Pkwy Ste 1, Idaho Falls, ID 83404-8333 | 2006-06-03 |
| 1356310239 | Jason Christopher Joyner | Physician Assistant | 1955 Fremont Ave, Idaho Falls, ID 83402-1510 | 2006-03-14 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
Please comment or provide details below to improve the information on MATTHEW R NELSON.
| 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.