Troy M Nelson DO Pharmd MPH PSC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

02797 Issued in KY

Legal business name

TROY M NELSON DO PHARMD MPH PSC

Practice address

125 South 20TH St
Paducah, KY 42001-7100

Phone

(270) 443-0708

Fax

(270) 443-0705

NPI assigned

Nov 15, 2006

Last updated

Nov 5, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Troy Marvin Nelson, D.O.,PHARM.D.,M.P.H.

Title

Owner

Phone

(270) 443-0708

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1508938572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S 20TH ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017100",
            "telephone_number": "270-443-0708",
            "fax_number": "270-443-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SOUTH 20TH ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017100",
            "telephone_number": "270-443-0708",
            "fax_number": "270-443-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROY M NELSON DO PHARMD MPH PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "MARVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-443-0708",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O.,PHARM.D.,M.P.H."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "KY",
            "license": "02797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64071806",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Daphne Troyer
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• Evgeniya S Tsukanovich
• Casie Tucker, DPT
• David N Tucker, O.D.

• Primary Care Clinic/Center in Paducah, KY
• Providers in Paducah, KY by specialty
• Primary Care Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; 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.