David J Neilsen (NPI# 1023076270, PAC ID# 3274514229) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1023076270 |
| PAC ID by PECOS | 3274514229 |
| Professional Enrollment ID | I20171121000627 |
| Full Name | David J Neilsen |
| Organization Legal Name | NES WASHINGTON, INC. |
| Address |
3100 Tongass Ave Ketchikan AK 99901-5746 |
| Phone Number | 9072255171 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1990 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 5193994879 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 021311 | PEACEHEALTH KETCHIKAN MEDICAL CENTER |
| 531314 | NIOBRARA COUNTY HOSPITAL DISTRICT |
| Address | Phone | Organization |
|---|---|---|
| 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 9072255171 | NES WASHINGTON, INC. |
| Organization Legal Name | NES WASHINGTON, INC. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karoly J Dobay Iii | Emergency Medicine | Nes Washington, Inc. | 3100 Tongass Ave, Ketchikan, AK 99901-5746 |
| Edwin M Eppler | Emergency Medicine | Nes Washington, Inc. | 3100 Tongass Ave, Ketchikan, AK 99901-5746 |
| Leonard K Dunikoski | Emergency Medicine | Nes Washington, Inc. | 3100 Tongass Ave, Ketchikan, AK 99901-5746 |
| Street Address |
3100 TONGASS AVE |
| City | KETCHIKAN |
| State | AK |
| Zip | 99901-5746 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah K Freysinger | Certified Registered Nurse Anesthetist (crna) | Peacehealth | 3100 Tongass Ave, Ketchikan, AK 99901-5746 |
| Irshad Shakir | Orthopedic Surgery | Peacehealth | 3100 Tongass Ave, Ketchikan, AK 99901-5746 |
| Michael A Sheflo | Internal Medicine | Peacehealth | 3100 Tongass Ave, Ketchikan, AK 99901-5746 |
| Shannon B O'brien | Orthopedic Surgery | Peacehealth | 3100 Tongass Ave, Ketchikan, AK 99901-5746 |
| Alan L Christensen | Obstetrics/gynecology | Peacehealth | 3100 Tongass Ave, Ketchikan, AK 99901-5746 |
| Daniel P Schlecht | Physician Assistant | Peacehealth | 3100 Tongass Ave, Ketchikan, AK 99901-5746 |
| Julie A Conyers | General Surgery | Peacehealth | 3100 Tongass Ave, Ketchikan, AK 99901-5746 |
| Catherine M Bjerum | Infectious Disease | Peacehealth | 3100 Tongass Ave, Ketchikan, AK 99901-5746 |
| Karoly J Dobay Iii | Emergency Medicine | Nes Washington, Inc. | 3100 Tongass Ave, Ketchikan, AK 99901-5746 |
| Kevin L Ketchum | Diagnostic Radiology | Peacehealth | 3100 Tongass Ave, Ketchikan, AK 99901-5746 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew F Zink | Obstetrics/gynecology | Peacehealth | 141 Bryant St, Ketchikan, AK 99901-5534 |
| Tammy L Earnest | Nurse Practitioner | Serenity Health and Wellness LLC | 120 Carlanna Lake Rd, Suite 102, Ketchikan, AK 99901-5611 |
| Chelsea Ria Youmans | Nurse Practitioner | Serenity Health and Wellness LLC | 120 Carlanna Lake Rd, Suite 102, Ketchikan, AK 99901-5611 |
| Marilyn Kay Holm | Optometry | Ketchikan Eye Care Center, L.L.C. | 351 Carlanna Lake Rd, Ketchikan, AK 99901-5614 |
| Ricky D. Swearingen | Optometry | Ketchikan Eye Care Center, L.L.C. | 351 Carlanna Lake Rd, Ketchikan, AK 99901-5614 |
| Erik Daniel Christianson | Optometry | Ketchikan Eye Care Center, L.L.C. | 351 Carlanna Lake Rd, Ketchikan, AK 99901-5614 |
| Marina Judith-rowe Mcintyre | Nurse Practitioner | 3528 Tongass Ave, Ketchikan, AK 99901-5635 | |
| Jessica R Pilcher | Nurse Practitioner | Legacy Health Clinic LLC | 3524 Tongass Ave, Ketchikan, AK 99901-5635 |
| Helen Rose Klein | Nurse Practitioner | Legacy Health Clinic LLC | 3524 Tongass Ave, Ketchikan, AK 99901-5635 |
| Cynthia L Wornstaff | Nurse Practitioner | 3528 Tongass Ave, Ketchikan, AK 99901-5635 | |
| Find all physicians in zip 99901 | |||
| City | KETCHIKAN |
| Zip Code | 99901 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | KETCHIKAN + FAMILY MEDICINE |
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| 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.