Active NPI
Jeffrey M. Nelson, M.D., P.C.
- Plastic Surgery Physician
- Tucson, AZ
National Provider Identifier
1831334820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 23419
- Legal business name
- JEFFREY M. NELSON, M.D., P.C.
- Practice address
- 7416 N la Cholla Blvd
Tucson, AZ 85741-2306 - Phone
- (520) 575-8400
- Fax
- (520) 797-2241
- NPI assigned
- Dec 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey M Nelson, M.D.
- Title
- Owner/Physician
- Phone
- (520) 575-8400
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 23419 | AZ | Primary |
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 2082S0099X | 23419 | AZ | |
| Surgery of the Hand (Surgery) Physician | 2086S0105X | 23419 | AZ | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 23419 | AZ |
Addresses
Primary practice location
7416 N la Cholla Blvd
Tucson, AZ 85741-2306
Mailing address
7416 N la Cholla Blvd
Tucson, AZ 85741-2306
Phone (520) 575-8400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 313388 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
7416 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 574-8400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228435200000",
"number": "1831334820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7416 N LA CHOLLA BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857412306",
"telephone_number": "520-575-8400",
"fax_number": "520-797-2241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7416 N LA CHOLLA BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857412306",
"telephone_number": "520-575-8400",
"fax_number": "520-797-2241"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY M. NELSON, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-05",
"last_updated": "2008-12-05",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "520-575-8400",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "AZ",
"license": "23419",
"primary": true
},
{
"code": "2082S0099X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
"state": "AZ",
"license": "23419",
"primary": false
},
{
"code": "2086S0105X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Surgery of the Hand",
"state": "AZ",
"license": "23419",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "AZ",
"license": "23419",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "313388",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.