Anders P. Nelson, MD, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD043822E Issued in PA

Legal business name

ANDERS P. NELSON, MD, PC

Practice address

110 Layton Road
Clarks Summit, PA 18411

Phone

(570) 586-8879

NPI assigned

May 14, 2007

Organization subpart

No

Name

Dr. Anders P Nelson, MDNPI 1457301145

Title

Owner

Phone

(570) 586-8879

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anders P. Nelson, M.D.

  • Pediatrics Physician
  • Clarks Summit, PA
  • NPI 1457301145

  Pediatrics

  NPD (past) Authorized official
• Lori Ann Shipsky, M.D.

  • Pediatrics Physician
  • Chinchilla, PA
  • NPI 1093953580

  Pediatrics

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 21, 2011.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295568000000",
    "number": "1992910699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 399",
            "city": "CHINCHILLA",
            "state": "PA",
            "postal_code": "184100399",
            "telephone_number": "570-586-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LAYTON ROAD",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "18411",
            "telephone_number": "570-586-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERS P. NELSON, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2011-01-21",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ANDERS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-586-8879",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD043822E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011992910001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allied Healthcare Services
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• Allied Services Hospice, LLC
• Ajey Shashikant Alurkar, M.D.
• Dale Ambosie, MSPT
• Arcadia Hospice, LLC
• Karen Takach Arcangelo, PH.D.
• Megan Z Azar, DMD
• Tamara Badette, LMSW
• Brian Gerard Baker, R.PH.

• All providers in Clarks Summit, PA
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.