MICHAEL T NELSON (NPI# 1972600286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972600286 |
| Entity Type | Individual |
| Full Name | MICHAEL T NELSON |
| Credential | MD |
| Practice Address |
Riverside Professional Building Second Floor, Suite 200, 606 24th Avenue South Minneapolis MN 55454 |
| Mailing Address |
University of Minnesota Physicians 420 Delaware Street Se, Mmc 292 Minneapolis MN 55455 |
| Practice Telephone | 6122735700 |
| Mailing Telephone | 6122735700 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
21958 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0052683 | 05 | |
| MN | BLUE CROSS BLUE SHIELD | 75R76NE | 01 |
| MN | FAIRVIEW | 156505 | 01 |
| MN | UCARE | 117050 | 01 |
| MN | HEALTH PARTNERS | HP11112 | 01 |
| MN | MEDICA CHOICE | 16-00526 | 01 |
| MN | MEDICA PRIMARY | 16-02032 | 01 |
| MN | 447578000 | 05 | |
| IA | 0529255 | 05 | |
| MN | ARAZ | 949395 | 01 |
| MN | PREFERRED ONE | 1023526 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669970638 | Michael Steven Nelson | Marriage & Family Therapist | 2423 Camino Del Rio S Ste 105, San Diego, CA 92108-3734 | 2018-01-25 |
| 1477065829 | Michael Nelson | Contractor | 4719 Cooper St, Albany, GA 31705-6009 | 2017-10-25 |
| 1275060410 | Michael Nelson | Chiropractor | 2147 Nw Highway 101, Lincoln City, OR 97367-4254 | 2017-05-18 |
| 1639536717 | Michael Nelson | Chiropractor | 10623 Professional Cir, Suite A, Reno, NV 89521-5846 | 2016-01-20 |
| 1477971141 | Michael Bradley Nelson | Pediatrics | 2000 Olathe # 3b, Kansas City, KS 66160-2620 | 2014-03-31 |
| 1699018192 | Michael Nelson | Dentist | 2803 176th Ave East, Lake Tapps, WA 98391 | 2013-04-03 |
| 1922343714 | Michael Nelson | Physical Therapist | 18501 N Thompson Peak Pkwy, Scottsdale, AZ 85255-6087 | 2012-12-05 |
| 1487971198 | Michael Nelson | Counselor | 11777 Sebastian Way Ste 102, Rancho Cucamonga, CA 91730-0707 | 2010-04-21 |
| 1730354622 | Michael Joseph Nelson Sr. | Registered Nurse | 7445 University Ave, Clive, IA 50325-1337 | 2008-04-23 |
| 1487787115 | Michael Earl Nelson | Dentist | 2025 W Elk Ave, Suite A, Duncan, OK 73533-1602 | 2007-03-13 |
| Street Address |
RIVERSIDE PROFESSIONAL BUILDING SECOND FLOOR, SUITE 200, 606 24TH AVENUE SOUTH |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341842 | Bruce Zhang | Student in an Organized Health Care Education/Training Program | 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 | 2020-06-18 |
| 1205456738 | Sara Segner | Student in an Organized Health Care Education/Training Program | Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-24 |
| 1417576844 | Sabena Khan | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 | 2020-04-15 |
| 1811525983 | Kayla Joy Solstad | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-01 |
| 1720647126 | Lauren Harasymiw | Student in an Organized Health Care Education/Training Program | Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-06-10 |
| 1689237448 | Katelyn Marie Adams | Student in an Organized Health Care Education/Training Program | Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-17 |
| 1285197848 | Adrienne Bruder | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-10 |
| 1588142855 | Stewart Graeme Morrison | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 | 2018-07-30 |
| 1831682251 | Sherab Tsheringla | Student in an Organized Health Care Education/Training Program | 2450 Riverside Avenue South, Minneapolis, MN 55454 | 2018-06-11 |
| 1669962148 | Pooja Elizabeth Mishra | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 | 2018-05-10 |
| Find all providers in zip 55454 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164765822 | Robben Andrew Schat | Radiology | 420 Delaware St Se - Mmc 292, Minneapolis, MN 55455-0341 | 2013-04-01 |
| 1326363102 | Gilda Boroumand | Radiology | 1901 Irving Ave S, Minneapolis, MN 55403-2824 | 2010-04-05 |
| 1477880276 | Siobhan Moira Flanagan | Radiology | Mmc 292,420 Delaware Street Se, University of Minnesota Department of Radiology, Minneapolis, MN 55455 | 2009-11-16 |
| 1720153075 | Annelisa M Carlson | Radiology | 5228 Evanswood Ln, Minneapolis, MN 55436-1133 | 2006-11-22 |
| 1073610374 | Carol Coleman Steenson | Radiology | 1 Veterans Drive, Dept of Imaging (114), Minneapolis Va Health Care System, Minneapolis, MN 55417 | 2006-09-20 |
| 1821023342 | Herbert Jones | Radiology | 3508 W 28th St, Minneapolis, MN 55416-4304 | 2006-07-12 |
| 1508816315 | Nazih N Farah | Radiology | 1221 Nicollet Ave, Suite 600, Minneapolis, MN 55403-2420 | 2006-05-11 |
| 1811947500 | Daniel Warren Eurman | Radiology | 100 3rd Ave S Unit 1507, Minneapolis, MN 55401 | 2006-05-11 |
| 1114906872 | David C Swanson | Radiology | 701 Park Ave # P4, Hcmc Radiology, Minneapolis, MN 55415-1623 | 2006-01-11 |
| 1295730349 | Gregory Bruce Snyder | Radiology | 2021 6th St Se, 2020 E 28th St., Minneapolis, MN 55455-3007 | 2005-06-16 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55454 |
Please comment or provide details below to improve the information on MICHAEL T NELSON.
| 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.