Thomas D Nelson (NPI# 1629093653, PAC ID# 8022168806) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1629093653 |
| PAC ID by PECOS | 8022168806 |
| Professional Enrollment ID | I20090617000199 |
| Full Name | Thomas D Nelson |
| Organization Legal Name | STOCKDALE PODIATRY GROUP INC |
| Address |
110 New Stine Rd Bakersfield CA 93309-2605 |
| Phone Number | 6618321667 |
| Gender | M |
| Medical School | CALIFORNIA COLLEGE PODIATRIC MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 0143282715 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050455 | ADVENTIST HEALTH BAKERSFIELD |
| Address | Phone | Organization |
|---|---|---|
| 110 New Stine Rd, Bakersfield, CA 93309-2605 | 6618321667 | STOCKDALE PODIATRY GROUP INC |
| Organization Legal Name | STOCKDALE PODIATRY GROUP INC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin M Suh | Podiatry | Stockdale Podiatry Group Inc | 1519 Garces Hwy, Suite 107, Delano, CA 93215-3694 |
| Brandon James Hawkins | Podiatry | Stockdale Podiatry Group Inc | 448 W Putnam Ave, Porterville, CA 93257-3321 |
| Mihaela Mihaluta-pasaboc | Internal Medicine | Stockdale Podiatry Group Inc | 448 W Putnam Ave, Porterville, CA 93257-3321 |
| Liviu G Pasaboc | Podiatry | Stockdale Podiatry Group Inc | 448 W Putnam Ave, Porterville, CA 93257-3321 |
| Hugo R Perez | Podiatry | Stockdale Podiatry Group Inc | 1519 Garces Hwy, Suite 107, Delano, CA 93215-3694 |
| Bryant Allen Nachtigall | Podiatry | Stockdale Podiatry Group Inc | 1519 Garces Hwy, Suite 107, Delano, CA 93215-3694 |
| James Edwin Teela | Podiatry | Stockdale Podiatry Group Inc | 448 W Putnam Ave, Porterville, CA 93257-3321 |
| Ruben Alcides Nieto | Podiatry | Stockdale Podiatry Group Inc | 1519 Garces Hwy, Suite 107, Delano, CA 93215-3694 |
| Philip E Larkins | Podiatry | Stockdale Podiatry Group Inc | 448 W Putnam Ave, Porterville, CA 93257-3321 |
| Mark L Hamilton | Podiatry | Stockdale Podiatry Group Inc | 448 W Putnam Ave, Porterville, CA 93257-3321 |
| Street Address |
110 NEW STINE RD |
| City | BAKERSFIELD |
| State | CA |
| Zip | 93309-2605 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Suadi | Diagnostic Radiology | Stockdale Radiology Physicians Services, Inc | 4000 Empire Dr, Suite 100, Bakersfield, CA 93309-0401 |
| Ali Ghorbanifarajzadeh | Podiatry | Oak Hills Medical Corporation | 1408 Commercial Way, Suite A, Bakersfield, CA 93309-0407 |
| Ramesh C Gupta | Gastroenterology | Silver Summit Medical Corporation | 1408 Commercial Way, Bakersfield, CA 93309-0407 |
| Bhavik Khatri | Cardiovascular Disease (cardiology) | Oak Hills Medical Corporation | 1408 Commercial Way, Suite A, Bakersfield, CA 93309-0407 |
| Ivaylo A Vagliarsky | Internal Medicine | Silver Summit Medical Corporation | 1408 Commercial Way, Bakersfield, CA 93309-0407 |
| Geo Mathew | Physician Assistant | Silver Summit Medical Corporation | 1408 Commercial Way, Bakersfield, CA 93309-0407 |
| Mark Schamblin | Orthopedic Surgery | Regents of The University of California | 4100 Empire Dr, Suite 120, Bakersfield, CA 93309-0408 |
| Joshua Leazenby | Physician Assistant | Regents of The University of California | 4100 Empire Dr, Suite 120, Bakersfield, CA 93309-0408 |
| Jeffrey J Crowley | Dermatology | Jeffrey J Crowley Md Inc | 5101 Commerce Dr, Suite 101, Bakersfield, CA 93309-0412 |
| Shanna L Treanor | Pediatric Medicine | Jeffrey J Crowley Md Inc | 5101 Commerce Dr, Suite 101, Bakersfield, CA 93309-0412 |
| Find all physicians in zip 93309 | |||
| City | BAKERSFIELD |
| Zip Code | 93309 |
| Specialty | PODIATRY |
| City + Specialty | BAKERSFIELD + PODIATRY |
Please comment or provide details below to improve the information on Thomas D 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.