DR. ADAM SANFORD NIELSON


Address: 8772 Stony Creek Drive, Colorado Springs, CO 80924
Phone: 7192828710

DR. ADAM SANFORD NIELSON (NPI# 1790756815) 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) 1790756815
Entity Type Individual
Full Name DR. ADAM SANFORD NIELSON
Credential MD
Practice Address 8772 Stony Creek Drive
Colorado Springs
CO 80924
Practice Telephone 7192828710
Practice Fax Number 7192828710
Mailing Telephone 7192828710
Mailing Fax Number 7192828710
Enumeration Date 2006-01-27
Last Update Date 2010-08-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine MD60130455 WA Allopathic & Osteopathic Physicians
Y 208D00000X General Practice 23355 NE Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MT 1790756815 05
WA 1790756815 05

Office Location

Street Address 8772 STONY CREEK DRIVE
City COLORADO SPRINGS
State CO
Zip Code 80924

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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1215499967 Stanley Leon Rapaport General Practice 3920 E San Miguel St Apt 129, Colorado Springs, CO 80909-3416 2019-04-02
1972009637 Optimal Therapy Billing General Practice 6547 N Academy Blvd Ste 1131, Colorado Springs, CO 80918-8342 2018-04-02
1710487939 Imed Integration LLC General Practice 6190 Lehman Dr Ste 100b, Colorado Springs, CO 80918-3445 2018-02-14
1982102406 Medevals of Colorado, Inc. General Practice 1233 Lake Plaza Dr Ste B, Colorado Springs, CO 80906-3567 2018-01-30
1699164152 Peak Performance Pt/md,llc General Practice 540 Mesa Vista Ct, Colorado Springs, CO 80904-2541 2015-01-21
1548668429 Paul Baker Md PC General Practice 9703 Pinedale Dr, Colorado Springs, CO 80920-2443 2014-12-09
1235575457 Barbara Meduna General Practice 14530 Silverton Rd, Colorado Springs, CO 80921-2944 2013-05-14
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Competitor

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City COLORADO SPRINGS
Zip Code 80924

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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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