Kyle P Nielson (NPI# 1770583726, PAC ID# 9638358443) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1770583726 |
| PAC ID by PECOS | 9638358443 |
| Professional Enrollment ID | I20140714001236 |
| Full Name | Kyle P Nielson |
| Organization Legal Name | RADIOLOGIC ASSOCIATES OF NORTHWEST ARIZONA, PLC |
| Address |
5330 S Hwy 95 Fort Mohave AZ 86426-9225 |
| Phone Number | 9287887228 |
| Gender | M |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1355628215 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030101 | WESTERN ARIZONA REGIONAL MEDICAL CENTER |
| 030117 | VALLEY VIEW MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2735 Silver Creek Rd, Bullhead City, AZ 86442-7924 | 9287632273 | RADIOLOGIC ASSOCIATES OF NORTHWEST ARIZONA, PLC |
| 5330 S Hwy 95, Fort Mohave, AZ 86426-9225 | 9287887228 | RADIOLOGIC ASSOCIATES OF NORTHWEST ARIZONA, PLC |
| Organization Legal Name | RADIOLOGIC ASSOCIATES OF NORTHWEST ARIZONA, PLC |
| Physicians | 1 |
| Street Address |
5330 S HWY 95 |
| City | FORT MOHAVE |
| State | AZ |
| Zip | 86426-9225 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian R Jahnny | Emergency Medicine | Nes Arizona Inc | 5330 S Hwy 95, Fort Mohave, AZ 86426-9225 |
| James W Garland | Anesthesiology | Capstone Medical Arizona LLC | 5330 S Hwy 95, Fort Mohave, AZ 86426-9225 |
| Mervat M Basta | Anesthesiology | Capstone Medical Arizona LLC | 5330 S Hwy 95, Fort Mohave, AZ 86426-9225 |
| Francisco J Melo | Anesthesiology | Capstone Medical Arizona LLC | 5330 S Hwy 95, Fort Mohave, AZ 86426-9225 |
| Guillermo G Zegarra | Internal Medicine | Aban Care Clinic LLC | 5330 S Hwy 95, Fort Mohave, AZ 86426-9225 |
| Robert J Lueken | Emergency Medicine | Nes Arizona Inc | 5330 S Hwy 95, Fort Mohave, AZ 86426-9225 |
| Michael P Ward | Emergency Medicine | Nes Arizona Inc | 5330 S Hwy 95, Fort Mohave, AZ 86426-9225 |
| Warren L Mays | Diagnostic Radiology | Radiologic Associates of Northwest Arizona Plc | 5330 S Hwy 95, Fort Mohave, AZ 86426-9225 |
| Vikas Sayal | Critical Care (intensivists) | Pulmonology Group LLC | 5330 S Hwy 95, Fort Mohave, AZ 86426-9225 |
| Maria M.r. Stockman | Internal Medicine | Pulmonology Group LLC | 5330 S Hwy 95, Fort Mohave, AZ 86426-9225 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cesar K Katigbak | Family Medicine | Bullhead City Clinic Corp | 5653 S Hwy 95, Suite A, Fort Mohave, AZ 86426-6069 |
| David M Freedman | Family Medicine | Vista Health Mirza Md PC | 5653 Hwy 95, Suite A, Fort Mohave, AZ 86426-6069 |
| Ronald S Bennett | Neurology | Vista Health Mirza Md PC | 5653 Hwy 95, Suite A, Fort Mohave, AZ 86426-6069 |
| Sheila Marie Sanders | Chiropractic | Polly's Chiropractic, P.C. | 5810 S Hwy 95 2, Fort Mohave, AZ 86426-6076 |
| Polly A Hediger | Chiropractic | Polly's Chiropractic, P.C. | 5810 S Hwy 95 2, Fort Mohave, AZ 86426-6076 |
| Muhammad A Nayer | Neurology | 1520 E Hammer Ln, Suite 103, Fort Mohave, AZ 86426-6665 | |
| Catherine R Nevels | Nurse Practitioner | Tri-state Medical Specialists LLC | 1510 E Wagon Wheel Ln, Suite 110, Ft Mohave, AZ 86426-6697 |
| Jaspreet Singh | Pain Management | Tri-state Medical Specialists LLC | 1510 E Wagon Wheel Ln, Suite 110, Ft Mohave, AZ 86426-6697 |
| Okey Iloegbunam | Nurse Practitioner | Tri-state Medical Specialists LLC | 1510 E Wagon Wheel Ln, Suite 110, Ft Mohave, AZ 86426-6697 |
| Jack Diep | Pain Management | Tri-state Medical Specialists LLC | 1510 E Wagon Wheel Ln, Suite 110, Ft Mohave, AZ 86426-6697 |
| Find all physicians in zip 86426 | |||
| City | FORT MOHAVE |
| Zip Code | 86426 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | FORT MOHAVE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Kyle P Nielson.
| 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.