Active NPI
David Lamont Nielson, DPM
- Foot & Ankle Surgery Podiatrist
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 0103300976
- Practice address
- 222 Walnut Ave SW
Roanoke, VA 24016-4723 - Phone
- (540) 344-3668
- Fax
- (540) 769-6381
- NPI assigned
- Aug 14, 2007
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0103300976 | VA | Primary |
Addresses
Primary practice location
222 Walnut Ave SW
Roanoke, VA 24016-4723
Mailing address
222 Walnut Ave SW
Roanoke, VA 24016-4723
Phone (540) 344-3668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053503961 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0103300976 | VA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williamson Memorial, Inc. | Current | Accepting new patients | |
| Williamson Health & Wellness Center Inc | Current | Accepting new patients | |
| Williamson Health & Wellness Center Inc | Current | Accepting new patients | |
| Williamson Memorial, Inc. | Current | Accepting new patients | |
| Williamson Health & Wellness Center Inc | Current | Accepting new patients |
Locations
260 Hospital Dr
South Williamson, KY 41503
Phone (606) 237-1700
184 E 2nd Ave
Ste 201
Williamson, WV 25661
859 Alderson St
Ste 1000
Williamson, WV 25661
859 Alderson St
Williamson, WV 25661
Phone (304) 235-2500
184 E 2nd Ave
Williamson, WV 25661
Phone (304) 235-1844
184 E 2nd Ave
Ste 210
Williamson, WV 25661
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DBJECA
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Williamson, WV
- NPI 1467711150
KY
-
- General Acute Care Hospital
- Williamson, WV
- NPI 1013521228
-
dba Williamson Health & Wellness Center-Mingo Central High School
- Federally Qualified Health Center (FQHC)
- Delbarton, WV
- NPI 1225684731
-
dba Williamson Health & Wellness Center -Licensed Behavioral Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Williamson, WV
- NPI 1942840384
-
- Emergency Medicine Physician
- Williamson, WV
- NPI 1174345243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226880000000",
"number": "1053503961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 WALNUT AVE SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240164723",
"telephone_number": "540-344-3668",
"fax_number": "540-769-6381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 WALNUT AVE SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240164723",
"telephone_number": "540-344-3668",
"fax_number": "540-769-6381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIELSON",
"first_name": "DAVID",
"middle_name": "LAMONT",
"name_prefix": "Mr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-14",
"last_updated": "2008-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "VA",
"license": "0103300976",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1053503961",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
- James R Niederlehner, M.D.
- Mary C Niederlehner, RN, CRNA
- Jessica Marie Niedermeier, LPC
- Christina Ruth Nielsen, DO
- Lisa Nielsen, CFCS-HDFS
- Niks Healthy Dreams
- Ogechi Anita Nkeonye, PMHNP- BC
- No Place Like Home Remodeling and Consulting Services,LLC (No Place Like Home Remodeling)
- Vashist Nobbee, MD
- Samuel Alexander Noble, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.