IAN R NEILSON M.D. NPI 1447330410

NPI Information

NPI: 1447330410
Provider Name: IAN R NEILSON, M.D.
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

Address:
887 CONGRESS ST
SUITE 300
PORTLAND, ME
ZIP 04102
Phone: (207) 662-5555
Get Directions

Ian R Neilson, M.D. is a pediatric surgery surgery in Portland, ME. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Ian R Neilson, M.D. NPI is 1447330410. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

887 CONGRESS ST
SUITE 300
PORTLAND, ME
ZIP 04102-100
Phone: (207) 662-5555
Fax: (207) 662-5526

The enumeration date for this NPI number is 10/16/2006 and was last updated on 11/26/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0120X	Surgery	Pediatric Surgery	5423	ALASKA	No
2	2086S0120X	Surgery	Pediatric Surgery	MD18028	MAINE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	30208266	MEDICAID	NEW HAMPSHIRE
2	MD98332	MEDICAID	ALASKA
3	000906701	MEDICARE PIN	MAINE
4	000906703	MEDICARE PIN	MAINE
5	00906702	MEDICARE PIN	MAINE
6	000906702	MEDICARE PIN	MAINE
7	433399099	MEDICAID	MAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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