DR. MATTHEW JOHN NELSEN (NPI# 1699727958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699727958 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW JOHN NELSEN |
| Credential | MD |
| Practice Address |
2301 25th St S Suite A Fargo ND 58103-6104 |
| Practice Telephone | 7012379712 |
| Practice Fax Number | 7012370922 |
| Mailing Telephone | 7012379712 |
| Mailing Fax Number | 7012370922 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2011-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 30252 | AZ | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 46060 | MN | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | 9363 | ND | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
30252 | AZ | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
46060 | MN | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
9363 | ND | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 12329 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174500409 | Matthew J Nelsen | Internal Medicine | 9240 N Meridian St Ste 160, Indianapolis, IN 46260-1827 | 2005-12-28 |
| Street Address |
2301 25TH ST S SUITE A |
| City | FARGO |
| State | ND |
| Zip Code | 58103-6104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215917992 | Arezoo Taheri | Internal Medicine | 2301 25th St S, Ste I, Fargo, ND 58103 | 2006-01-19 |
| 1437786860 | Derek Weninger | Physician Assistant | 2301 25th St S, Fargo, ND 58103-6104 | 2020-03-25 |
| 1578196853 | Jade Storley | Physician Assistant | 2301 25th St S, Fargo, ND 58103-6104 | 2020-02-14 |
| 1881225837 | Whitney Marie Krabbenhoft | Physician Assistant | 2301 25th St S, Fargo, ND 58103-6104 | 2020-01-29 |
| 1477113439 | Matthew Philip Mcmanus | Specialist/Technologist | 2301 25th St S, Fargo, ND 58103-6104 | 2019-06-20 |
| 1467938886 | Cassandra Staber | Physician Assistant | 2301 25th St S, Fargo, ND 58103-6104 | 2018-07-18 |
| 1194201624 | Alec Michelle Aman | Physical Therapist | 2301 25th St S, Fargo, ND 58103-6104 | 2018-07-18 |
| 1639679624 | Andrew Macgregor | Physician Assistant | 2301 25th St S, Fargo, ND 58103-6104 | 2018-02-15 |
| 1851890396 | Jordan Iverson | Physician Assistant | 2301 25th St S, Fargo, ND 58103-6104 | 2018-02-11 |
| 1740789726 | Melisha Ann Vannett | Nurse Practitioner | 2301 25th St S, Fargo, ND 58103-6104 | 2018-02-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366494809 | Philip Quentin Johnson | Orthopaedic Surgery | 2829 University Dr S, Suite 202, Fargo, ND 58103-6050 | 2006-05-16 |
| 1740540707 | John Rostad Haggart | Orthopaedic Surgery | 3000 32nd Ave S, Fargo, ND 58103 | 2012-05-24 |
| 1013282425 | Razvan Nicolescu | Orthopaedic Surgery | 3000 32nd Ave South, Fargo, ND 58103-6132 | 2012-03-19 |
| 1083981567 | Parth Ashok Vyas | Orthopaedic Surgery | 801 Broadway N, Fargo, ND 58102-3641 | 2011-11-28 |
| 1184917924 | Sanford Medical Center Fargo | Orthopaedic Surgery | 801 Broadway N, Fargo, ND 58102-3641 | 2011-05-26 |
| 1477846749 | Michael A White | Orthopaedic Surgery | 2301 25th St S, Fargo, ND 58103-6104 | 2011-05-19 |
| 1093005902 | Brian Sauer | Orthopaedic Surgery | 2301 25th St S, Fargo, ND 58103 | 2011-04-12 |
| 1669785556 | Jason Kelly | Orthopaedic Surgery | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2010-07-20 |
| 1326222514 | Benjamin Noonan | Orthopaedic Surgery | 2301 25th St S, Fargo, ND 58103-6104 | 2007-12-24 |
| 1356551089 | Kevin Dahl | Orthopaedic Surgery | 2301 25th St S, Fargo, ND 58103-6104 | 2007-05-23 |
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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.