Active NPI
Eric C Nielson, MD
- Obstetrics & Gynecology Physician
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 2746251205
- Practice address
- 1220 East 3900 South
Suite 3E
Salt Lake City, UT 84124 - Phone
- (801) 685-7188
- Fax
- (801) 685-8116
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 2746251205 | UT | Primary |
Addresses
Primary practice location
1220 East 3900 South
Suite 3E
Salt Lake City, UT 84124
Mailing address
1220 East 3900 South
Suite 3E
Salt Lake City, UT 84124
Phone (801) 685-7188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2746251205 | UT | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Mt. Olympus Obstetrics and Gynecology | Past | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
201 W Layton Pkwy
Ste 2B
Layton, UT 84041
Phone (801) 543-6850
3723 W 12600 S
Ste 360
Riverton, UT 84065
Phone (801) 205-4700
370 Ninth Ave
Ste 205
Salt Lake Cty, UT 84103
Phone (801) 355-9951
1200 E 3900 S
Slc, UT 84124
Phone (801) 268-7111
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Psychiatry Physician
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- NPI 1023843844
-
- Obstetrics Physician
- Salt Lake City, UT
- NPI 1619190899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013944289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 EAST 3900 SOUTH",
"address_2": "SUITE 3E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84124",
"telephone_number": "801-685-7188",
"fax_number": "801-685-8116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 EAST 3900 SOUTH",
"address_2": "SUITE 3E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84124",
"telephone_number": "801-685-7188",
"fax_number": "801-685-8116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIELSON",
"first_name": "ERIC",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "UT",
"license": "2746251205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.