Active NPI
Paul Nielsen LLC
- Family Medicine Physician
- Wooster, OH
National Provider Identifier
1003121872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PAUL NIELSEN LLC
- Practice address
- 128 E Milltown Rd
Suite 105
Wooster, OH 44691-6109 - Phone
- (330) 345-8060
- Fax
- (330) 345-5983
- NPI assigned
- Aug 17, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul R Nielsen, MD
- Title
- Medical Doctor
- Phone
- (330) 345-8060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
128 E Milltown Rd
Suite 105
Wooster, OH 44691-6109
Mailing address
128 E Milltown Rd
Suite 105
Wooster, OH 44691-6109
Phone (330) 345-8060
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282003200000",
"number": "1003121872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 E MILLTOWN RD",
"address_2": "SUITE 105",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446916109",
"telephone_number": "330-345-8060",
"fax_number": "330-345-5983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 E MILLTOWN RD",
"address_2": "SUITE 105",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446916109",
"telephone_number": "330-345-8060",
"fax_number": "330-345-5983"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL NIELSEN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-17",
"last_updated": "2010-08-17",
"status": "A",
"authorized_official_last_name": "NIELSEN",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "330-345-8060",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.