DAVID C NIELSEN (NPI# 1821048364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821048364 |
| Entity Type | Individual |
| Full Name | DAVID C NIELSEN |
| Credential | MD |
| Practice Address |
4840 N Cloverdale Rd Boise ID 83713-2423 |
| Mailing Address |
190 E Bannock St Boise ID 83712-6241 |
| Practice Telephone | 2087068000 |
| Practice Fax Number | 2087068001 |
| Mailing Telephone | 2087068000 |
| Mailing Fax Number | 2087068001 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2014-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | M6851 | ID | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851410716 | David H Nielsen | Emergency Medicine | 17 Stagecoach Rd, Amherst, MA 01002-3527 | 2007-03-29 |
| 1285659367 | David A Nielsen | Optometrist | 1641 N Alpine Rd, Suite 205, Rockford, IL 61107-1458 | 2006-07-12 |
| 1922576842 | David Nielsen | Counselor | 1701 18th Ave S, Seattle, WA 98144-4317 | 2018-11-08 |
| 1386129963 | David Matthew Nielsen | Counselor | 9938 Airline Hwy, Baton Rouge, LA 70816-8193 | 2018-09-28 |
| 1639513773 | David Eugene Nielsen | Anesthesiology | 4838 E Baseline Rd Ste 108, Mesa, AZ 85206-4672 | 2013-04-19 |
| 1386816635 | David Nielsen | Technician, Other | 474 W 200 N, St George, UT 84770-4505 | 2008-03-27 |
| 1669544771 | David M Nielsen | Psychologist | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2006-11-14 |
| 1134210867 | David Nielsen | Physical Therapist | 505 W Hollis St Ste 104, Nashua, NH 03062-1386 | 2006-09-27 |
| 1649383027 | David B Nielsen | Radiology | 1055 N 300 W Ste 104, Provo, UT 84604-3344 | 2006-08-17 |
| 1922080498 | David Alan Nielsen | Orthopaedic Surgery | 183 Spotnap Rd, Suite C, Charlottesville, VA 22911-8812 | 2005-11-18 |
| Street Address |
4840 N CLOVERDALE RD |
| City | BOISE |
| State | ID |
| Zip Code | 83713-2423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417959842 | Susan Elizabeth Baxter | Internal Medicine | 4840 N Cloverdale Rd, Boise, ID 83713-2423 | 2005-08-15 |
| 1588192371 | Bridgette Garidel | Social Worker | 4840 N Cloverdale Rd, Boise, ID 83713-2423 | 2017-05-24 |
| 1811372881 | Kelly Krawtz | Pharmacist | 4840 N Cloverdale Rd, Boise, ID 83713-2423 | 2015-07-20 |
| 1497955371 | Lakshmi Priya Esturi | Internal Medicine | 4840 N Cloverdale Rd, Boise, ID 83713-2423 | 2007-07-19 |
| 1255422747 | Maria K Ewings | Internal Medicine | 4840 N Cloverdale Rd, Boise, ID 83713-2423 | 2006-09-27 |
| 1013957471 | St Lukes Regional Medical Center | Clinic/Center | 4840 N Cloverdale Rd, Boise, ID 83713-2423 | 2006-06-07 |
| 1205884616 | Mark L Holbrook | Internal Medicine | 4840 N Cloverdale Rd, Boise, ID 83713-2423 | 2006-05-05 |
| 1982698502 | Gretchen L Kohler | Internal Medicine | 4840 N Cloverdale Rd, Boise, ID 83713-2423 | 2005-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902332 | Kidscare Home Health of Idaho, LLC | Home Health | 1835 Wildwood Street, Boise, ID 83713 | 2018-11-30 |
| 1417463928 | Kimberly Ann Bohrer | Behavioral Analyst | 12053 W Hickory Dr, Boise, ID 83713 | 2017-12-19 |
| 1407371891 | Emir Hadzic | Optometrist | 13239 W. Fernleaf St., Boise, ID 83713 | 2017-08-07 |
| 1518336650 | Alliance Physical Medicine | Nurse Practitioner | 13909 W Wainwright Drive, Boise, ID 83713 | 2015-09-18 |
| 1083038335 | Jan L Rehder | Nurse Practitioner | 13150 W Persimmon Lane, Boise, ID 83713 | 2014-02-06 |
| 1508287061 | Heather N Fox | Physician Assistant | 12273 West Mcmillan Road, Boise, ID 83713 | 2013-12-30 |
| 1659667459 | Jayson Clark | Dentist | 4274 N Eagle Road, Boise, ID 83713 | 2011-06-21 |
| 1043503659 | Steven Anthony Eckhoff | Physician Assistant | 11662 W Arlen St, Boise, ID 83713 | 2011-05-16 |
| 1790923621 | Christie Dudash Flynn | Physician Assistant | 12273 W Mcmillian Road, Boise, ID 83713 | 2009-01-30 |
| 1699930404 | Dennis J. Garpetti, Dds, P.C. | Dentist | 13108 West Persimmon Lane, Boise, ID 83713 | 2008-07-21 |
| Find all providers in zip 83713 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891256004 | Ryan Thompson | Internal Medicine | 400 W Fort St # 111r, Boise, ID 83702-4531 | 2019-03-29 |
| 1518311679 | Samantha Hersrud | Internal Medicine | 500 W Fort St 111r, Internal Medicine Residency, Boise, ID 83702 | 2016-04-14 |
| 1649634718 | Elizabeth Ann Schackmann | Internal Medicine | 500 W Fort St # 111r, Boise, ID 83702-4501 | 2016-04-05 |
| 1134513088 | Alex Tanabe | Internal Medicine | 1000 E Park Blvd, Boise, ID 83712-7791 | 2015-03-27 |
| 1104169283 | Jacqueline Kelly | Internal Medicine | 500 West Fort St. #111, Boise Vamc, Boise, ID 83702 | 2013-03-27 |
| 1083980734 | Shanaz Sikder | Internal Medicine | 403 S 11th St Ste 100, Boise, ID 83702 | 2012-03-27 |
| 1679869473 | Allyson J Komori | Internal Medicine | 500 W Fort St # 111, Suite 202, Boise, ID 83702-4501 | 2011-06-21 |
| 1982929048 | Sarita Anisha Kishore | Internal Medicine | 1970 Toluka Way, Boise, ID 83712-8547 | 2010-04-01 |
| 1568796282 | Life Quest Center Inc | Internal Medicine | 3355 N Five Mile Rd, Ste 284, Boise, ID 83713-3925 | 2009-09-28 |
| 1164673968 | Jenifer L Barry | Internal Medicine | 1525 S Owyhee St, Boise, ID 83705-6014 | 2008-10-10 |
| Find all providers in BOISE | ||||
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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.