Audwin B Nelson MD P a

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME86834 Issued in FL

Legal business name

AUDWIN B NELSON MD P A

Practice address

4215 Sun N Lake Blvd
Sebring, FL 33872-2158

Phone

(863) 471-2320

Fax

(863) 471-2101

NPI assigned

Jan 28, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Audwin Bruce Nelson, MDNPI 1467453126

Title

President

Phone

(863) 471-2320

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Audwin Bruce Nelson, MD

  • Internal Medicine Physician
  • Sebring, FL
  • NPI 1467453126
  Medicare reassignment NPD Authorized official
• Rebeca Rivera, ARNP-IP FNP-C BC-ADM

  • Nurse Practitioner
  • Sebring, FL
  • NPI 1184113094
  Medicare reassignment NPD
• Rachel Williams, APRN

  • Family Nurse Practitioner
  • Sebring, FL
  • NPI 1114523263
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286323200000",
    "number": "1104064245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 SUN N LAKE BLVD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722158",
            "telephone_number": "863-471-2320",
            "fax_number": "863-471-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 SUN N LAKE BLVD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722158",
            "telephone_number": "863-471-2320",
            "fax_number": "863-471-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDWIN B NELSON MD P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2010-10-06",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "AUDWIN",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-471-2320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME86834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266302300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roger N Arumugam, M.D.
• Mahsa Asgari, COTA/L
• Mark Ashby, MD
• Crystal Ashworth
• Roy Asumbrado, RPT
• Ariel A Aure, PT
• Ketsia Aurelien, A-GNP NURSE PRACTITI
• Benjamin Auyang, M.A., CCC-SLP
• Adrian Joe Ayala
• Allan Jess Ayala, RPT

• Internal Medicine Physician in Sebring, FL
• Providers in Sebring, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.