Thomas J Nelson, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5549 Issued in AZ

Practice address

22713 S Ellsworth Rd Ste 101
Queen Creek, AZ 85142

Phone

(480) 474-5670

Fax

(480) 987-7643

NPI assigned

Oct 2, 2013

Last updated

Nov 26, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations (25 of 26)

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Agave Solutions PLLC

  • Psychiatry Physician
  • Avondale, AZ
  • NPI 1619594546
  Medicare reassignment
• Horizon Health and Wellness, Inc.

  • General Practice Physician
  • Apache Junction, AZ
  • NPI 1659308989
  Medicare reassignment
• Horizon Health and Wellness, Inc.

  • Community Health Clinic/Center
  • Apache Junction, AZ
  • NPI 1164729745
  NPD
• Horizon Health and Wellness, Inc.

  • Federally Qualified Health Center (FQHC)
  • Globe, AZ
  • NPI 1689436412
  NPD
• Tri-City Express Care, PLLC

  dba FastMed Urgent Care

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1649554940
  NPD
• Honorhealth Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Phoenix, AZ
  • NPI 1740273614
  NPD (past)
• Tri-City Express Care, PLLC

  dba FastMed Urgent Care

  • Urgent Care Clinic/Center
  • Phoenix, AZ
  • NPI 1376981092
  NPD (past)
• Tri-City Express Care, PLLC

  dba FastMed Urgent Care

  • Urgent Care Clinic/Center
  • Tempe, AZ
  • NPI 1477818730
  NPD (past)
• Tri-City Express Care, PLLC

  dba FastMed Urgent Care

  • Urgent Care Clinic/Center
  • Tucson, AZ
  • NPI 1710239082
  NPD (past)
• Tri-City Express Care, PLLC

  dba FastMed Urgent Care

  • Urgent Care Clinic/Center
  • Tolleson, AZ
  • NPI 1750728523
  NPD (past)
• Tri-City Express Care, PLLC

  dba FastMed Urgent Care

  • Family Medicine Physician
  • Gilbert, AZ
  • NPI 1962580118
  NPD (past)

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1508293713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22713 S ELLSWORTH RD STE 101",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851427886",
            "telephone_number": "480-474-5670",
            "fax_number": "480-987-7643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22713 S ELLSWORTH RD STE 101",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "85142",
            "telephone_number": "480-474-5670",
            "fax_number": "480-987-7643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22713 S Ellsworth Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "85142",
            "country_code": "US",
            "telephone_number": "480-474-5670",
            "fax_number": "480-987-7643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-02",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "5549",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nationwide Optometry P.C. (Nationwide Vision)
• Ramon Nava Jr., PMHNP-BC, FNP-BC
• Donna Marie Neill
• Britney Nichol Nelson, FNP
• Lucinda L Nelson, RN
• Nevada Home Hospice and Palliative Care LLC
• New Destiny Health LLC
• New Heights Health Services LLC
• Fernanda Newman, RBT
• Annette E Nganje

• Physician Assistant in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.