Donald R Nelson MD PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

05491 Issued in AZ

Legal business name

DONALD R NELSON MD PC

Practice address

1945 Mesquite Ave Ste a
Lake Havasu City, AZ 86403-5889

Phone

(928) 855-4128

Fax

(928) 855-7539

NPI assigned

Feb 8, 2008

Organization subpart

No

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

Authorized official

Name

Arluene Ruth Langejans

Title

Office Manager

Phone

(928) 855-4128

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1962680108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 MESQUITE AVE STE A",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035889",
            "telephone_number": "928-855-4128",
            "fax_number": "928-855-7539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 MESQUITE AVE STE A",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035889",
            "telephone_number": "928-855-4128",
            "fax_number": "928-855-7539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD R NELSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "LANGEJANS",
        "authorized_official_first_name": "ARLUENE",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "928-855-4128"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "05491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "219940",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Obstetrics & Gynecology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.

Verify at the official NPI Registry.