Gina Nelson M.D. PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

7570 Issued in MT

Legal business name

GINA NELSON M.D. PC

Practice address

1297 Burns Way
Suite 2
Kalispell, MT 59901-3128

Phone

(406) 755-6550

Fax

(406) 755-6563

NPI assigned

Nov 16, 2011

Last updated

Jul 1, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gina Nelson, M.D.NPI 1477683159

Title

Owner/ Obstetrician Gynecologist

Phone

(406) 755-6550

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Practitioners 1

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.

• Gina S Nelson, M.D.

  • Obstetrics & Gynecology Physician
  • Kalispell, MT
  • NPI 1477683159
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1972870103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1297 BURNS WAY",
            "address_2": "SUITE 2",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013128",
            "fax_number": "406-755-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1297 BURNS WAY",
            "address_2": "SUITE 2",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013128",
            "telephone_number": "406-755-6550",
            "fax_number": "406-755-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINA NELSON M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "OWNER/ OBSTETRICIAN GYNECOLOGIST",
        "authorized_official_telephone_number": "406-755-6550",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MT",
            "license": "7570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0104338",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Obstetrics & Gynecology Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.