Active NPI
Paul W. Nielsen, DO
- Emergency Medicine Physician
- Grafton, WV
National Provider Identifier
1457313025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 1539
- Practice address
- 1 Hospital PLZ
Grafton, WV 26354-1283 - Phone
- (304) 265-0400
- Fax
- (304) 265-6443
- NPI assigned
- Apr 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 1539 | WV | Primary |
Addresses
Primary practice location
1 Hospital PLZ
Grafton, WV 26354-1283
Mailing address
1 Hospital PLZ
Grafton, WV 26354-1283
Phone (304) 265-0400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1539 | WV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Association | Past | Accepting new patients | |
| 4M Emergency Systems of West Virginia | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
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-
- Physical Therapy Clinic/Center
- Ravenswood, WV
- NPI 1124369780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439424000000",
"number": "1457313025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOSPITAL PLZ",
"city": "GRAFTON",
"state": "WV",
"postal_code": "263541283",
"telephone_number": "304-265-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOSPITAL PLZ",
"city": "GRAFTON",
"state": "WV",
"postal_code": "263541283",
"telephone_number": "304-265-0400",
"fax_number": "304-265-6443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIELSEN",
"first_name": "PAUL",
"middle_name": "W.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2015-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WV",
"license": "1539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grafton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.