Individual provider Active NPI

Joe Alan Nelson, D.O.

  • Emergency Medicine Physician
  • Coral Springs, FL
National Provider Identifier
1629036025
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS4921 Issued in FL
Practice address
934 N University Dr
#228
Coral Springs, FL 33071-7029
Phone
(954) 553-1066
NPI assigned
May 3, 2006
Last updated
Feb 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS4921 FL Primary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X OS4921 FL

Addresses

Primary practice location

934 N University Dr
#228
Coral Springs, FL 33071-7029

Mailing address

934 N University Dr
#228
Coral Springs, FL 33071-7029
Phone (954) 553-1066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20040625000051 FL Practitioner - Emergency Medicine 3072501303 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olive Health LLCGroup PAC ID 1153739214, 7 clinicians

Practice addresses (Care Compare)

4912 W Trapnell Rd
Plant City, FL 33566-0128
Phone (813) 389-9474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Olive Health LLC CurrentSince Dec 22, 2025 Accepting new patients
Transitions Healthcare LLC CurrentSince Mar 28, 2025 Accepting new patients
San Diego Medical Center Inc Past Accepting new patients
Lord Physical Rehabilitation Center Past Accepting new patients
O & Y Medical Corp Inc. Past Accepting new patients
All State Medical Center Inc. Past Accepting new patients
Quintero Medical Center Corp Past Accepting new patients
Hallandale Rehabilitation Inc Past Accepting new patients
Best Medical Office Inc Past Accepting new patients
MD Medical Corp. Past Accepting new patients
Diamond Medical Enterprise Inc Past Accepting new patients

Locations

15500 Roosevelt Blvd
Ste 101
Clearwater, FL 33760
Phone (727) 214-4622

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392595200000",
    "number": "1629036025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 N UNIVERSITY DR",
            "address_2": "#228",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717029",
            "telephone_number": "954-553-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 N UNIVERSITY DR",
            "address_2": "#228",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717029",
            "telephone_number": "954-553-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JOE",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2014-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS4921",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "FL",
            "license": "OS4921",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.