JAY WALTER NIELSEN MD INC (NPI# 1972784825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972784825 |
| Entity Type | Organization |
| Organization Name | JAY WALTER NIELSEN MD INC |
| Other Organization Name | SPINE AND JOINT CARE INC |
| Practice Address |
1900 Indian Wood Cir Suite 100 Maumee OH 43537-4033 |
| Practice Telephone | 4198976490 |
| Practice Fax Number | 4198970544 |
| Mailing Telephone | 4198976490 |
| Mailing Fax Number | 4198970544 |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2010-06-02 |
| Authorized Official Name | JAY W NIELSEN (OWNER) |
| Authorized Official Telephone | 4198976490 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
35-04-0332-N | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0419158 | 05 |
| Other Name | Type Code |
|---|---|
| Spine and Joint Care Inc | Doing Business As Name - Organization |
| Street Address |
1900 INDIAN WOOD CIR SUITE 100 |
| City | MAUMEE |
| State | OH |
| Zip Code | 43537-4033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104827682 | Odyssey Healthcare Operating B Lp | Hospice Care, Community Based | 1900 Indian Wood Cir, Suite 100b, Maumee, OH 43537-4033 | 2005-08-09 |
| 1740835222 | Nathan Wert | Behavior Technician | 1900 Indian Wood Cir, Maumee, OH 43537-4033 | 2019-08-02 |
| 1821275546 | Perrysburg Rehabilitation LLC | Physical Medicine & Rehabilitation | 1900 Indian Wood Cir, Suite 100, Maumee, OH 43537-4033 | 2008-01-24 |
| 1659572105 | Bobbi J Mourad | Massage Therapist | 1900 Indian Wood Cir, Maumee, OH 43537-4033 | 2007-05-31 |
| 1982775268 | Jay Walter Nielsen | Family Medicine | 1900 Indian Wood Cir, Suite 100, Maumee, OH 43537-4033 | 2006-11-10 |
| 1558432823 | Janice M Meier | Counselor | 1900 Indian Wood Cir, Suite 100, Maumee, OH 43537-4033 | 2006-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245884709 | Mary Walasinski | Behavior Technician | 1900 Indian Wood Circle Suite 100, Maumee, OH 43537 | 2019-08-01 |
| 1912483314 | Integrated Restorative Solutions LLC | Pain Medicine | 2718 River Rd, Maumee, OH 43537 | 2018-07-18 |
| 1326533373 | Michelle Lei Sandwisch | Nurse Practitioner | 7140 Maumee Western Road, Maumee, OH 43537 | 2018-06-22 |
| 1669978201 | Bradley D Walker | Case Manager/Care Coordinator | 1600 Michigan Ave, Maumee, OH 43537 | 2018-04-03 |
| 1841792306 | Stephen Flory | Specialist/Technologist | 2584 S Detroit Ave, Maumee, OH 43537 | 2018-03-01 |
| 1851841787 | Michelle Laver | Social Worker | 7320 Sh 108, Wauseon, OH 43537 | 2016-10-04 |
| 1083070288 | Friends Who Care | Home Health | 2749 Pine Trace Dr, Maumee, OH 43537 | 2016-01-05 |
| 1386025203 | Unique Health Care Solutions, LLC | Home Health | 3430 Briarfield Blvd, Maumee, OH 43537 | 2015-06-16 |
| 1104239698 | Jill Saul | Dietitian, Registered | 5871 Monclova Rd., Maumee, OH 43537 | 2014-06-03 |
| 1922438910 | Kristen Junga | Counselor | 1627 Henthorne Dr Ste E, Maumee, OH 43537 | 2013-11-12 |
| Find all providers in zip 43537 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225082399 | Randy Lee Climo | Family Medicine | 1655 Holland Rd, Suite D, Maumee, OH 43537-1656 | 2006-05-21 |
| 1861446940 | Randy L. Climo, M.d., Inc. | Family Medicine | 1725 Timber Line Rd, Maumee, OH 43537-4015 | 2006-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217352 | Melissa Anne Peters | Family Medicine | 2041 Stringtown Rd, Grove City, OH 43123-2930 | 2020-08-26 |
| 1053941518 | Luciana Sonnenlitter | Family Medicine | 33703 Lake Rd, Avon Lake, OH 44012-1009 | 2020-01-23 |
| 1952950453 | Care Excellence LLC | Family Medicine | 3622 Belmont Ave Ste 20, Youngstown, OH 44505-1444 | 2019-09-06 |
| 1689027500 | Annemarie E Miller | Family Medicine | 26900 Cedar Rd. Beachwood Family Health & Surgery Cente, Beachwood, OH 44122 | 2016-07-15 |
| 1952708786 | Dr. Paul Wilson, Inc | Family Medicine | 440 S Reynolds Rd Ste B, Toledo, OH 43615-5900 | 2014-11-21 |
| 1568875409 | Integrated Healthcare LLC | Family Medicine | 222 Heathermere Loop, Galena, OH 43021-8053 | 2014-06-09 |
| 1184964389 | James William Ferraro II | Family Medicine | 750 E Broad St Ste 200, Columbus, OH 43205-1190 | 2013-02-25 |
| 1447526983 | Robert James Cromley II | Family Medicine | 10553 Saint Clair Ave, Cleveland, OH 44108-1973 | 2012-03-29 |
| 1831418177 | Gary Lowell Whitacre | Family Medicine | 5555 Scarborough Blvd, Columbus, OH 43232-4730 | 2010-05-26 |
| 1346579315 | Daniel Allen Franklin | Family Medicine | 3976 Sandtrap Cir, Mason, OH 45040-2171 | 2009-12-21 |
| Find all providers with the same taxonomy | ||||
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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.