John C Nelson (NPI# 1073776787, PAC ID# 3173585718) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1073776787 |
| PAC ID by PECOS | 3173585718 |
| Professional Enrollment ID | I20041027000434 |
| Full Name | John C Nelson |
| Organization Legal Name | STATE OF UTAH |
| Address |
168 N 1950 W 201 Health Clinics of Utah Salt Lake City UT 84114-3324 |
| Phone Number | 8017153500 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 1969 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 6800797333 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 168 N 1950 W, 201 Health Clinics of Utah, Salt Lake City, UT 84114-3324 | 8017153500 | STATE OF UTAH |
| Organization Legal Name | STATE OF UTAH |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mac J Gilbert | Psychologist, Clinical | State of Utah | 1300 E Ctr St, Utah State Hospital, Provo, UT 84606-3554 |
| Pamela R Poulsen | Nurse Practitioner | State of Utah | 895 N 900, Utah State Developement Center, American Fork, UT 84003-9183 |
| Marc E Babitz | Family Medicine | State of Utah | 150 E Ctr St, 1100 Heath Clinics of Utah, Provo, UT 84606-3703 |
| Rhonda L Lee | Physician Assistant | State of Utah | 2540 Washington Blvd, 122 Health Clinics of Utah, Ogden, UT 84401-3112 |
| Olivier M Mulyangote | Physician Assistant | State of Utah | 168 N 1950 W, 201 Health Clinics of Utah, Salt Lake City, UT 84114-3324 |
| Douglas P Benson Ii | Psychologist, Clinical | State of Utah | 1300 E Ctr St, Utah State Hospital, Provo, UT 84606-3554 |
| Margaret L Gustafson | Psychologist, Clinical | State of Utah | 1300 E Ctr St, Utah State Hospital, Provo, UT 84606-3554 |
| Julia K Chasler | Psychologist, Clinical | State of Utah | 1300 E Ctr St, Utah State Hospital, Provo, UT 84606-3554 |
| Hannah M Baczynski | Psychologist, Clinical | State of Utah | 1300 E Ctr St, Utah State Hospital, Provo, UT 84606-3554 |
| David N Sundwall | Family Medicine | State of Utah | 168 N 1950 W, 201 Health Clinics of Utah, Salt Lake City, UT 84114-3324 |
| Street Address |
168 N 1950 W 201 HEALTH CLINICS OF UTAH |
| City | SALT LAKE CITY |
| State | UT |
| Zip | 84114-3324 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Olivier M Mulyangote | Physician Assistant | State of Utah | 168 N 1950 W, 201 Health Clinics of Utah, Salt Lake City, UT 84114-3324 |
| David N Sundwall | Family Medicine | State of Utah | 168 N 1950 W, 201 Health Clinics of Utah, Salt Lake City, UT 84114-3324 |
| Victoria H Stanger | Physician Assistant | State of Utah | 168 N 1950 W, 201 Health Clinics of Utah, Salt Lake City, UT 84114-3324 |
| Amy D Ellsworth | Nurse Practitioner | State of Utah | 168 N 1950 W, 201 Health Clinics of Utah, Salt Lake City, UT 84114-3324 |
| City | SALT LAKE CITY |
| Zip Code | 84114 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SALT LAKE CITY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on John C Nelson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.