Nielsen Urology

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

NIELSEN UROLOGY

Practice address

522 Russell Blvd
Nacogdoches, TX 75965-1244

Phone

(936) 564-3030

NPI assigned

Nov 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark Nielsen, M.D.NPI 1790873164

Title

Owner

Phone

(936) 564-3030

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Mark Andrew Nielsen, MD

  • Urology Physician
  • Jacksonville Beach, FL
  • NPI 1790873164

  Single Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1275714628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 RUSSELL BLVD",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651244",
            "telephone_number": "936-564-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 RUSSELL BLVD",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651244",
            "telephone_number": "936-564-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIELSEN UROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-564-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00T15F",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James H. Newberg, CRNA
• Rachel Newton
• Nexion Health at Oak Manor, Inc.
• Lien Nguyen, D.O.
• Alberta Nichols, ATC, LAT
• Morgan Nix, FNP
• NMC Surgery Center, L.P.
• James William Norman, DDS
• Northland Hearing Center, Inc.
• Nowaitlist LLC

• Urology Physician in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.