Douglas L Nelson, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS8713 Issued in FL

Practice address

13904 Monroes Business Park
Tampa, FL 33635-6370

Phone

(727) 799-9060

Fax

(727) 799-5315

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• New Power Medicine Inc.

  • General Practice Physician
  • St Petersburg, FL
  • NPI 1770042335
  NPD
• Advanced Medical Therapy Institute, Inc.

  • Exclusive Provider Organization
  • St Petersburg, FL
  • NPI 1538199435
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1336173483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13904 MONROES BUSINESS PARK",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336356370",
            "telephone_number": "727-799-9060",
            "fax_number": "727-799-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13904 MONROES BUSINESS PARK",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336356370",
            "telephone_number": "727-799-9060",
            "fax_number": "727-799-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DOUGLAS",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April L Nelson
• Audrey L Nelson, PHD, RN, FAAN
• Christopher G Nelson, M.D.
• Connie J Nelson, ARNP
• Daniel Nelson
• Jacob Isreal Nelson
• Juan Carlos Nelson, MAED CAP
• Katrina Dawn Nelson, DPT
• Lauren Elizabeth Nelson, M.S.,CCC-SLP
• Linda Nelson, ARNP

• Family Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.

Verify at the official NPI Registry.