MATTHEW ALAN NIELSEN


Address: 710 Lomax St, Jacksonville, FL 32204
Phone: 9043556583

MATTHEW ALAN NIELSEN (NPI# 1700129707) 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) 1700129707
Entity Type Individual
Full Name MATTHEW ALAN NIELSEN
Credential MD
Practice Address 710 Lomax St
Jacksonville
FL 32204
Mailing Address 62 Eliana Ave
Saint Johns
FL 32259-1277
Practice Telephone 9043556583
Mailing Telephone 9365544123
Enumeration Date 2013-03-28
Last Update Date 2018-06-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology ME134652 FL Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
62 Eliana Ave, Saint Johns, FL 322591277 9365544123

Other Providers MATTHEW NIELSEN

NPI Name Taxonomy Address Enumeration
1144697848 Matthew Burns Nielsen Pharmacist 1201a S Division St, Traverse City, MI 49684-4426 2015-08-28
1356622401 Matthew John Nielsen Dentist 224 W D.l. Ingram, Bld. 1408, Cannon Afb, NM 88103 2011-09-02
1205987500 Matthew Edward Nielsen Urology Unc Chapel Hill Dept of Surgery, Urology: Campus Box 7235, Chapel Hill, NC 27599-0001 2007-01-15
1053868471 Matthew Phillip Nielsen Pharmacist 201 3rd Ave, Seward, AK 99664-2088 2016-09-01
1598147845 Matthew Nielsen Family Medicine 1401 E H St, Mc Cook, NE 69001 2015-06-23
1235442575 Matthew John Nielsen Surgery 1300 Anne St Nw, Bemidji, MN 56601-5103 2010-07-15
1396075743 Matthew Dean Nielsen Podiatrist 550 Rush Creek Pkwy, Suite A, Liberty, MO 64068-9604 2010-01-07
1215184528 Matthew Allan Nielsen Dentist 324 Se 9th Ave, Suite B, Hillsboro, OR 97123-4247 2008-08-19
1346317740 Matthew Nielsen Psychologist 4700 Las Vegas Blvd N, Nellis Afb, Nellis Afb, NV 89191-6600 2006-11-29

Office Location

Street Address 710 LOMAX ST
City JACKSONVILLE
State FL
Zip Code 32204

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154396695 Shannon Marie Cordes Nurse Practitioner 710 Lomax St, Jacksonville, FL 32204-4004 2006-02-20
1740741495 Michael Wilson Nurse Practitioner 710 Lomax St, Jacksonville, FL 32204-4015 2019-03-26
1003254228 Kyle Hollingsworth Specialist/Technologist 710 Lomax St, Jacksonville, FL 32204-4015 2013-06-10
1619221637 Florida Physician Specialists LLC Urology 710 Lomax St, Jacksonville, FL 32204-4004 2012-10-29
1588917108 Florida Physician Specialists LLC Radiology 710 Lomax St, Suite 1, Jacksonville, FL 32204-4004 2012-10-19
1114224961 Tara A Romeu Physician Assistant 710 Lomax St, Jacksonville, FL 32204-4015 2011-02-14
1407096183 Integrated Community Oncology Network LLC Radiology 710 Lomax St, Suite 1, Jacksonville, FL 32204-4004 2009-02-20
1457529786 Integrated Community Oncology Network LLC Urology 710 Lomax St, Jacksonville, FL 32204-4004 2008-02-20
1770604548 Sagar R. Shah Urology 710 Lomax St, Jacksonville, FL 32204-4004 2007-04-02
1548301336 James Atherton Baldock Urology 710 Lomax St, Jacksonville, FL 32204-4004 2007-02-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437719853 North Florida Surgeons, Pa Orthopaedic Surgery 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 2019-06-18
1770043531 Manuel Viado Rosas Physical Therapist Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 2019-03-20
1255805172 Tracie Nickole Singh Marriage & Family Therapist 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 2019-01-14
1427548544 Bold City Therapy and Wellness LLC Clinic/Center 2054 Park Street, Jacksonville, FL 32204 2018-05-14
1356883078 Lcn Enterprise, LLC Case Manager/Care Coordinator 1225 W Beaver St Ste 106, Jacksonville, FL 32204 2016-11-11
1073065082 Prosser and Prosser LLC Non-emergency Medical Transport (VAN) 2120 Ernest St, Jacksonville, FL 32204 2016-10-26
1336529817 Nader Daoud Internal Medicine 1 Shircliffway, Jacksonville, FL 32204 2015-06-01
1194119214 Benjamin James Dionne Internal Medicine 2 Shircliff Way Ste 400, Jacksonville, FL 32204 2015-03-26
1598187932 Jamara Stephens Counselor 1225 W Beaver St Ste 205, Jacksonville, FL 32204 2014-01-18
1154743961 Kathleen Jasper Nurse Anesthetist, Certified Registered 2165 Herschel Street, Jacksonville, FL 32204 2014-01-14
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053859041 Soroush Bazargani Urology 653 W 8th St Lrc Bldg Fl 2, Jacksonville, FL 32216-6511 2017-02-09
1538534409 Clinical Urology Associates, P.C. Urology 820 Pelham Rd S, Jacksonville, AL 36265-2736 2015-12-03
1356692065 Onslow Ambulatory Services, Inc. Urology 52 Office Park Dr, Suite B, Jacksonville, NC 28546-3217 2012-09-21
1841586120 Travis Christopher Allemang Urology 2080 Child St Dept 5000, Jacksonville, FL 32214 2011-06-24
1275597817 Thomas L Wilson M D Ltd Urology 814 W State, Jacksonville, IL 62650 2006-04-12
1164484267 Charles Stott Wilson Urology 814 West State, Jacksonville, IL 62650 2006-04-04
1912967860 Fawaz M Ashouri Urology 2301 University Blvd W, Jacksonville, FL 32217 2006-03-24
1972578136 Christopher Ramon Williams Urology 8708 Perimeter Park Blvd Ste 4, Jacksonville, FL 32216 2006-02-21
1659374320 Ahmad Kasraeian Urology 6269 Beach Blvd, Ste 2, Jacksonville, FL 32216-2705 2005-05-24
1013542919 Ackerman Cancer Center, Pa Urology 10232 San Jose Blvd, Jacksonville, FL 32257 2020-03-11
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Competitor

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City JACKSONVILLE
Zip Code 32204

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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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