Organization Active NPI

Doris a Nelson M D P C

  • Clinic/Center
  • West Branch, MI
National Provider Identifier
1255633871
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
DN073868 Issued in MI
Legal business name
DORIS A NELSON M D P C
Practice address
335 E Houghton Ave
West Branch, MI 48661-1127
Phone
(989) 343-1333
Fax
(989) 343-1334
NPI assigned
Dec 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Authorized official

Name
Doris A Nelson, M.D.
Title
President
Phone
(989) 343-1333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X DN073868 MI Primary

Addresses

Primary practice location

335 E Houghton Ave
West Branch, MI 48661-1127

Mailing address

335 E Houghton Ave
West Branch, MI 48661-1127
Phone (989) 343-1333

Other identifiers 1

IdentifierTypeStateIssuer
1063588218OtherMINPI

National Provider Directory

National Provider Directory

Locations

335 E Houghton Ave
West Branch, MI 48661
Phone (989) 343-3154

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1255633871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 E HOUGHTON AVE",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486611127",
            "telephone_number": "989-343-1333",
            "fax_number": "989-343-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 E HOUGHTON AVE",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486611127",
            "telephone_number": "989-343-1333",
            "fax_number": "989-343-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORIS A NELSON M D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-343-1333",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "DN073868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1063588218",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Branch, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.

Verify at the official NPI Registry.