Niel C Rasmussen MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

00021221 Issued in AL

Legal business name

NIEL C RASMUSSEN MD PC

Doing business as

Headland Family Medicine

Practice address

204 Holman Dr
Headland, AL 36345-2307

Phone

(334) 693-3336

Fax

(334) 693-2553

NPI assigned

Jun 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Niel Christian Rasmussen, MDNPI 1174560916

Title

President

Phone

(334) 693-3336

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Headland Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Niel Christian Rasmussen, MD

  • Family Medicine Physician
  • Headland, AL
  • NPI 1174560916
  Medicare reassignment Care Compare group NPD Authorized official
• Ramona Carol Bolin, PA-C

  • Physician Assistant
  • Headland, AL
  • NPI 1457398257
  Medicare reassignment Care Compare group
• Haley Roberts, MD

  • Family Medicine Physician
  • Headland, AL
  • NPI 1912694068
  Medicare reassignment NPD

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730126129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 HOLMAN DR",
            "city": "HEADLAND",
            "state": "AL",
            "postal_code": "363452307",
            "telephone_number": "334-693-3336",
            "fax_number": "334-693-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 HOLMAN DR",
            "city": "HEADLAND",
            "state": "AL",
            "postal_code": "363452307",
            "telephone_number": "334-693-3336",
            "fax_number": "334-693-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIEL C RASMUSSEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN",
        "authorized_official_first_name": "NIEL",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-693-3336",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00021221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "J071",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Headland Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John M. McDonald Jr., MD
• Sara Elizabeth Wehner McKee
• Mikes Pharmacy of Headland Inc
• Joseph Lee Myers, LPC
• Alyssa Justine Narksavee, ALC
• Kaci M Norris
• Emma Lee Peden, PSY.D.
• Niel Christian Rasmussen, MD
• Haley Roberts, MD
• Sonforever

• Family Medicine Physician in Headland, AL
• Providers in Headland, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.