Active NPI
Joe Alan Nelson, D.O.
- Emergency Medicine Physician
- Coral Springs, FL
National Provider Identifier
1629036025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OS4921
- 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, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olive Health LLC | Current | Accepting new patients | |
| Transitions Healthcare LLC | Current | 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.
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-
- Internal Medicine Physician
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- NPI 1821707407
-
- Specialist
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- NPI 1326079948
-
- Ph.D. Medical Genetics
- Hialeah, FL
- NPI 1821046954
-
- Specialist
- Miami, FL
- NPI 1932125077
-
- Legal Medicine
- Miami Lakes, FL
- NPI 1659326171
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Virginia Gardens, FL
- NPI 1184656597
-
- Legal Medicine
- Miami, FL
- NPI 1902857378
-
- Clinic/Center
- Hialeah, FL
- NPI 1225083744
-
- Clinic/Center
- Hialeah, FL
- NPI 1629082615
-
- Ph.D. Medical Genetics
- Hollywood, FL
- NPI 1144383597
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.