ALEX JONATHAN NELSON (NPI# 1730405408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730405408 |
Entity Type | Individual |
Full Name | ALEX JONATHAN NELSON |
Credential | M.D. |
Practice Address |
5801 S Fashion Blvd Ste. 180 Murray UT 84107-6159 |
Mailing Address |
274 N Main St Logan UT 84321-3915 |
Practice Telephone | 2012627246 |
Mailing Telephone | 4357531600 |
Enumeration Date | 2010-04-20 |
Last Update Date | 2017-03-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
9395185-1205 | UT | Allopathic & Osteopathic Physicians |
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
9395185-1205 | UT | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912559535 | Alex Jace Nelson | Specialist/Technologist | 309 S Medford Dr, Lufkin, TX 75901-5245 | 2019-07-13 |
1346622412 | Alex Jackson Nelson | Counselor | 3217 Hennepin Ave, Suite 2, Minneapolis, MN 55408-4694 | 2015-06-24 |
1821428020 | Alex Nelson | Chiropractor | 8370 N Donnelly Ave Apt 716, Kansas City, MO 64158-7131 | 2013-11-25 |
Street Address |
5801 S FASHION BLVD STE. 180 |
City | MURRAY |
State | UT |
Zip Code | 84107-6159 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124282991 | Rachel A Bills | Speech-Language Pathologist | 5801 S Fashion Blvd, Suite 190, Murray, UT 84107-6159 | 2008-07-10 |
1386254837 | Le Ngu, Licensed Psychologist | Counselor | 5801 S Fashion Blvd, Murray, UT 84107-6159 | 2020-08-08 |
1245895002 | Laken Shirey | Counselor | 5801 S Fashion Blvd, Murray, UT 84107-6159 | 2019-05-07 |
1245773399 | Surgery Center Anesthesia, LLC | Anesthesiology | 5801 S Fashion Blvd, Suite 190, Murray, UT 84107-6159 | 2016-11-21 |
1447609987 | Granger Medical Clinic, PC | Internal Medicine | 5801 S Fashion Blvd, Suite 140, Murray, UT 84107 | 2016-06-06 |
1114386620 | Jacob Jackson | Chiropractor | 5801 S Fashion Blvd, Suite 210, Murray, UT 84107-6159 | 2016-02-12 |
1619347135 | Utah Spine Institute | Clinic/Center | 5801 S Fashion Blvd, Suite 180, Murray, UT 84107-6159 | 2015-09-26 |
1215312640 | Desiree S Hammer | Physician Assistant | 5801 S Fashion Blvd, Ste 180, Murray, UT 84107-6159 | 2015-07-27 |
1306181268 | Canada Chiropractic A Professional Corporation | Point of Service | 5801 S Fashion Blvd, Suite 175, Murray, UT 84107-6159 | 2012-12-04 |
1255680559 | Murray Surgical | Clinic/Center | 5801 S Fashion Blvd, #190, Murray, UT 84107-6159 | 2012-08-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
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Taxonomy Code | 208VP0014X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Interventional Pain Medicine |
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972862605 | Intermountain Pain Management and Injury, Inc | Pain Medicine | 6575 S Redwood Rd, St 201, Taylorsville, UT 84123-5688 | 2012-05-15 |
1285958439 | Advanced Spine Pain Specialists | Pain Medicine | 286 N Gateway Dr Ste 201, Providence, UT 84332-5603 | 2010-03-17 |
1619907490 | Kyle Shigeru Matsumura | Pain Medicine | 6750 S Highland Drive, Ste 100, Cottonwood Heights, UT 84121 | 2006-07-04 |
1326665829 | Wasatch Wellness Center LLC | Pain Medicine | 1215 S 1680 W, Orem, UT 84058-4939 | 2020-06-30 |
1689226391 | Utah Intermountain Pain Management | Pain Medicine | 8822 S Redwood Rd Ste 113, West Jordan, UT 84088-9341 | 2019-07-12 |
1568909836 | Glacier Peak Pain Care Pllc | Pain Medicine | 1407 N 2000 W, Clinton, UT 84015-8562 | 2017-01-25 |
1073959714 | Wasatch Sports, Spine & Pain Treatment Center Pllc | Pain Medicine | 680 E Main St, 202, Lehi, UT 84043-2241 | 2013-05-21 |
1841531340 | Wasatch Pain Solutions, PC | Pain Medicine | 661 W 10600 S, South Jordan, UT 84095-8524 | 2013-03-07 |
1376821587 | Canyon Ridge Pain and Spine PC | Pain Medicine | 1551 Renaissance Towne Dr, Suite 460, Bountiful, UT 84010-7667 | 2011-07-22 |
1063721850 | Alta Pain Physicians, Pllc | Pain Medicine | 11333 S 1000 E, #102, Sandy, UT 84094-5428 | 2010-09-28 |
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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.