DR. GERALD DALE NELSON (NPI# 1801260096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801260096 |
| Entity Type | Individual |
| Full Name | DR. GERALD DALE NELSON |
| Credential | MD |
| Practice Address |
9403 Cross Creek St (retired) Wichita KS 67206-4086 |
| Mailing Address |
9403 Cross Creek St Wichita KS 67206-4086 |
| Practice Telephone | 3166308594 |
| Practice Fax Number | 9708795047 |
| Mailing Telephone | 3166308594 |
| Mailing Fax Number | 9708795047 |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2015-11-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 04-12590 | KS | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528251626 | Gerald Boyd Nelson Jr. | Specialist/Technologist, Other | 1555 Northway Dr, Saint Cloud, MN 56303-4555 | 2007-08-22 |
| 1104960905 | Gerald E Nelson | Obstetrics & Gynecology | 9285 Hepburn St, Highlands Ranch, CO 80129-2262 | 2007-02-16 |
| 1922030725 | Gerald D Nelson | Dentist | 707 Parnassus Ave, D-3033, San Francisco, CA 94143-0438 | 2006-07-06 |
| 1871549774 | Gerald E Nelson | Registered Nurse | 1211 Wilmington Ave, New Castle, PA 16105-2516 | 2006-05-25 |
| Street Address |
9403 CROSS CREEK ST (RETIRED) |
| City | WICHITA |
| State | KS |
| Zip Code | 67206-4086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020846 | Founders Surgery Center, LLC | Clinic/Center | 1961 N Founders Circle, Wichita, KS 67206 | 2019-12-19 |
| 1174006613 | Courtney Dawn Simon | Physical Therapist | 9360 E Central Ave Ste 100, Wichita, KS 67206 | 2018-09-11 |
| 1902308919 | Center At Waterfront LLC | Skilled Nursing Facility | 1541 North Lindberg Circle, Wichita, KS 67206 | 2018-03-06 |
| 1750804597 | Katelyn Aguiar | Psychologist | 250 N Rock Rd Ste 210, Wichita, KS 67206 | 2017-07-24 |
| 1457888778 | Mona Kay Cherryholmes | Social Worker | 1223 N. Rock Rd, Bldg A. Suite 100, Wichita, KS 67206 | 2017-05-17 |
| 1164899415 | Elizabeth Herl | Marriage & Family Therapist | 250 N Rock Rd Ste 150, Wichita, KS 67206 | 2015-08-21 |
| 1851715510 | Ndjj Corp | Custodial Care Facility | 6403 E Marjore, Wichita, KS 67206 | 2014-02-14 |
| 1801238217 | Courtney Ann Lang | Physical Therapist | 1603 North Chapel Hill Street, Suite 400, Wichita, KS 67206 | 2013-07-26 |
| 1194063032 | Peak Performance Health Pa | Chiropractor | 10111 E 21st St, #106, Wichita, KS 67206 | 2013-01-28 |
| 1750629002 | Rachel Marie Conrad | Speech-Language Pathologist | 1861 N. Rock Rd, Ste 101, Wichita, KS 67206 | 2013-01-22 |
| Find all providers in zip 67206 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457459364 | James M Shaw | Plastic Surgery | 3595 N Webb Rd, Wichita, KS 67226-8168 | 2006-09-21 |
| 1356447825 | Plastic Surgery Center, P.a. | Plastic Surgery | 1861 N Webb Rd, Wichita, KS 67206-3413 | 2006-09-15 |
| 1780611178 | Kenton W Schoonover | Plastic Surgery | 10111 E 21st St N Ste 305, Wichita, KS 67206-3581 | 2006-06-28 |
| 1255380366 | Bruce G. Ferris | Plastic Surgery | 1861 N. Webb Rd, Wichita, KS 67206-3413 | 2006-05-08 |
| 1720523251 | Kansas Plastic Surgery, LLC | Plastic Surgery | 10111 E 21st St N Ste 305, Wichita, KS 67206-3581 | 2016-12-19 |
| 1174973606 | Shaw Plastic Surgery, LLC | Plastic Surgery | 3595 N Webb Rd, Wichita, KS 67226-8168 | 2016-06-15 |
| 1245489632 | Matthew H. Conrad, Md, Pa | Plastic Surgery | 1700 Waterfront Pkwy, Bldg 200, Wichita, KS 67206-6614 | 2008-09-10 |
| 1942469812 | Joshua David Linnell | Plastic Surgery | 1947 N Founders Cir, Wichita, KS 67206-3548 | 2008-06-05 |
| 1396895983 | Aesthetic & Plastic Surgery Pa | Plastic Surgery | 9300 E 29th St N, Wichita, KS 67226-2182 | 2007-01-12 |
| 1326119066 | Amy M Sprole | Plastic Surgery | 1861 N. Webb Rd, Wichita, KS 67206-3413 | 2006-11-13 |
| Find all providers in WICHITA | ||||
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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.