I. William Nelson, MD,PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

1526791205 Issued in UT

Practice address

556 E 4020 N
Provo, UT 84604-5149

Phone

(801) 225-5881

Fax

(801) 434-7067

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Murray, UT
  • NPI 1629260880
  Medicare reassignment NPD
• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Tremonton, UT
  • NPI 1518978733
  NPD
• Ihc Health Services, Inc.

  • Psychiatry Physician
  • St George, UT
  • NPI 1023843844
  NPD

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238371200000",
    "number": "1972517043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 E 4020 N",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846045149",
            "telephone_number": "801-225-5881",
            "fax_number": "801-434-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 E 4020 N",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846045149",
            "telephone_number": "801-225-5881",
            "fax_number": "801-434-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "I.",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD,PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2009-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "UT",
            "license": "1526791205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTAH STATE LICENSE",
            "identifier": "1526791205",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Nelson, LAT, ATC
• Brooke Nelson
• Devon A Nelson, MD
• Duane James Nelson, M.D.
• Gary E Nelson, PA-C
• Jordan Nelson, MD
• Kelsie Nicole Nelson
• Madison Paige Nelson
• Melanie Nelson
• Michael Bailey Nelson

• Otolaryngology Physician in Provo, UT
• Providers in Provo, UT by specialty
• Otolaryngology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.