David Wesley Nelson Jr., MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD14308 Issued in OR

Practice address

19300 SW 65TH
Legacy Meridian Park Hospital
Tualatin, OR 97062-8854

Phone

(503) 692-5737

Fax

(503) 692-5307

NPI assigned

Nov 15, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

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 Medicine

State licenses

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.

• Good Shepherd Health Care System

  • Critical Access Hospital
  • Hermiston, OR
  • NPI 1295789667
  Medicare reassignment NPD
• Interventional and Vascular Consultants PC

  • Vascular & Interventional Radiology Physician
  • Wilsonville, OR
  • NPI 1770889388
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487726246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6464 SW BORLAND ROAD SUITE A4",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628854",
            "telephone_number": "503-692-5737",
            "fax_number": "503-692-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19300 SW 65TH",
            "address_2": "LEGACY MERIDIAN PARK HOSPITAL",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628854",
            "telephone_number": "503-692-5737",
            "fax_number": "503-692-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DAVID",
        "middle_name": "WESLEY",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD14308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022272",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natural Health Source Clinic
• Naturalways Pediatrics
• David C Nazemi, MD
• Yara D Nazzal, MD
• Neighborhood Health Center
• Laura Nepveu, MD
• Keleigh Marie Nersasian, PA-C
• Jill Neuman, CSWA
• Sanjay P Neupane, MD
• Rachael Elizabeth Newman, DC

• Diagnostic Radiology Physician in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Diagnostic Radiology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.