NPIMap

Organization Active NPI

Roy G. Nelson MD PC

  • Pediatric Adolescent Medicine Physician
  • Louisville, CO
National Provider Identifier
1487735098
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
23781 Issued in CO
Legal business name
ROY G. NELSON MD PC
Practice address
90 Health Park Dr
Suite 200
Louisville, CO 80027-9757
Phone
(303) 673-9001
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Dr. Roy Gunnar Nelson, M. D.NPI 1598846552
Title
Physician
Phone
(303) 673-9001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X 23781 CO Primary

Addresses

Primary practice location

90 Health Park Dr
Suite 200
Louisville, CO 80027-9757

Mailing address

90 Health Park Dr
Suite 200
Louisville, CO 80027-9757
Phone (303) 673-9001

Other identifiers 1

IdentifierTypeStateIssuer
01237817MedicaidCO

Other names 1

  • Flatirons Pediatric Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

90 Health Park Dr
Ste 200
Louisville, CO 80027
Phone (303) 673-9001

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1487735098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HEALTH PARK DR",
            "address_2": "SUITE 200",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279757",
            "telephone_number": "303-673-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 HEALTH PARK DR",
            "address_2": "SUITE 200",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279757",
            "telephone_number": "303-673-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY G. NELSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "GUNNAR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "303-673-9001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CO",
            "license": "23781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01237817",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flatirons Pediatric Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.