JOEL NELSON (NPI# 1851390504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851390504 |
| Entity Type | Individual |
| Full Name | JOEL NELSON |
| Credential | M.D. |
| Practice Address |
550 S Landmark Ave Bloomington IN 47403-3239 |
| Practice Telephone | 8123303688 |
| Practice Fax Number | 8123553270 |
| Mailing Telephone | 8123303688 |
| Mailing Fax Number | 8123553270 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2016-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
01035192 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200059630 | 05 | |
| IN | BLUE CROSS PROVIDER NO. | 000000300090 | 01 |
| IN | IN STATE LICENSE NUMBER | 01035192 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558903963 | Joel Nelson | Chiropractor | 2119 Sawyer Dr., Niagara Falls, NY 14304 | 2019-10-17 |
| 1598026841 | Joel P Nelson | Counselor | 5644 Wigeon St Se, Salem, OR 97306-2883 | 2012-06-04 |
| 1003900515 | Joel Brandon Nelson | Counselor | 1000 W Carson, Torrance, CA 90502 | 2006-10-02 |
| 1043650575 | Joel W Nelson | Ophthalmology | 2055 15th St N, Saint Cloud, MN 56303-1747 | 2013-06-28 |
| 1306178223 | Joel Nelson | Community Health Worker | 3100 Channel Dr # 314, Juneau, AK 99801-7837 | 2010-02-02 |
| 1689684532 | Joel B Nelson | Podiatrist | 733 Market Ave S, Canton, OH 44702-2165 | 2006-08-09 |
| 1952379885 | Joel B Nelson | Specialist | 5200 Centre Ave, Suite 209, Pittsburgh, PA 15232-1300 | 2006-03-08 |
| Street Address |
550 S LANDMARK AVE |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-3239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760487623 | Jean A. Creek | Internal Medicine | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2005-06-16 |
| 1225657877 | Valerie Mccullough | Nurse Practitioner | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2020-04-14 |
| 1104454768 | Haley C Richardson | Physician Assistant | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2020-03-30 |
| 1669003489 | Keira Bex | Registered Nurse | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2020-01-30 |
| 1992341770 | Melisse Nicole Ferree Gladwell | Nurse Practitioner | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2019-11-27 |
| 1841845658 | Rachael M Hamelink | Registered Nurse | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2019-08-08 |
| 1023592300 | Danielle Lee Rogers | Nurse Practitioner | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2018-09-21 |
| 1508382003 | Hilary Anderson | Nurse Practitioner | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2017-08-16 |
| 1205364494 | Hena Naz Shah | Nurse Practitioner | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2017-06-01 |
| 1164957338 | Amanda Butcher | Nurse Practitioner | 550 S Landmark Ave, Bloomington, IN 47403 | 2017-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689842262 | James Scott Frasure | Emergency Medicine | 4030 W Breezewood Ct, Bloomington, IN 47404-9132 | 2008-02-15 |
| 1982658886 | Robert L Goddard Jr. | Emergency Medicine | 817 W Rosewood Dr, Bloomington, IN 47404-1849 | 2006-05-22 |
| 1861703100 | The Vein Specialists, LLC | Emergency Medicine | 3302 Gerig Dr, Suite 100, Bloomington, IL 61704-6365 | 2010-07-01 |
| 1548340409 | Kevin T. Moore | Emergency Medicine | 601 W 2nd St, Bloomington, IN 47403-2317 | 2006-10-16 |
| 1841211042 | Jeanette Hammerstein | Emergency Medicine | 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 | 2006-07-22 |
| 1023045606 | Richard Sabbun | Emergency Medicine | 2200 E Washington St, Bloomington, IL 61701-4364 | 2006-06-27 |
| 1497782700 | Douglas Ward | Emergency Medicine | 2200 E Washington St, Bloomington, IL 61701-4364 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346871217 | Nw Indiana Ep, LLC | Emergency Medicine | 7904 Cabela Dr, Hammond, IN 46324-2950 | 2020-01-30 |
| 1801383278 | Midwest Emergency Medicine, Inc. | Emergency Medicine | 520 S 7th Street, Er, Vincennes, IN 47591-1038 | 2018-04-20 |
| 1285994434 | Aaron Brooks Crofoot | Emergency Medicine | 229 W North Shore Dr, South Bend, IN 46617-1142 | 2012-05-22 |
| 1831290956 | Suzanne M Coleman | Emergency Medicine | 3124 E State Blvd Ste 2b, Fort Wayne, IN 46805-4763 | 2006-09-25 |
| 1194772681 | Paula Lange | Emergency Medicine | 3252 Tantara Bnd, Carmel, IN 46032-8733 | 2006-05-28 |
| 1295796985 | Thomas S Spencer | Emergency Medicine | 104 E Culver Rd, Suite 103, Knox, IN 46534-2216 | 2006-03-31 |
| 1609844166 | Joseph V Lazzara | Emergency Medicine | 8633 N State Road 550, Bruceville, IN 47516-6096 | 2006-03-10 |
| 1427048099 | Mark M Walsh | Emergency Medicine | 801 E Lasalle, Emergency Department, South Bend, IN 46617-2814 | 2005-10-25 |
| 1417558271 | Daviess County Hospital | Emergency Medicine | 1314 E Walnut St, Washington, IN 47501-2860 | 2020-11-06 |
| 1851816656 | Lacey Diane Maul | Emergency Medicine | 1907 W Sycamore St, Kokomo, IN 46901-5148 | 2017-08-14 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
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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.