Mark D Nelson, DPM, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

862025 Issued in WI

Legal business name

MARK D NELSON, DPM, LLC

Practice address

1440 S Commercial St
Neenah, WI 54956-4638

Phone

(920) 725-4008

Fax

(920) 725-4218

NPI assigned

Jan 22, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Mark D Nelson, DPM

Title

Presiden

Phone

(920) 725-4008

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MARK D NELSON, DPM Doing business as

Locations

Practitioners 1

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

• Corey W Wesner, DPM

  • Podiatrist
  • Neenah, WI
  • NPI 1861493967

  Foot & Ankle Surgery

  NPD (past)

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1164660650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 S COMMERCIAL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549564638",
            "telephone_number": "920-725-4008",
            "fax_number": "920-725-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 S COMMERCIAL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549564638",
            "telephone_number": "920-725-4008",
            "fax_number": "920-725-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK D NELSON, DPM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDEN",
        "authorized_official_telephone_number": "920-725-4008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WI",
            "license": "862025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "862025",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARK D NELSON, DPM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Paul Mancl, D.C.
• James P Manderle, MD
• Crystal Manders, RN
• Linda Mangin, RN DIABETES EDUCATOR
• Amanda Mae Mann, APNP
• Sally Ann Marohn, AGPCNP-BC
• Alison D Martin, PT
• Sarah M Martin
• Susan Marie Martin, COTA
• Tyler Martin, PT, DPT

• Foot & Ankle Surgery Podiatrist in Neenah, WI
• Providers in Neenah, WI by specialty
• Foot & Ankle Surgery Podiatrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.