DR. DOUGLAS MARTIN NELSON DPM NPI 1568442077

NPI Information

NPI: 1568442077
Provider Name: DR. DOUGLAS MARTIN NELSON, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

Address:
1326 PENINSULA DR
ERIE, PA
ZIP 16505
Phone: (814) 835-3338
Get Directions

DR. Douglas Martin Nelson, DPM is a foot and ankle surgery podiatrist in Erie, PA. DR. Douglas Martin Nelson, DPM NPI is 1568442077. 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:

1326 PENINSULA DR
ERIE, PA
ZIP 16505-235
Phone: (814) 835-3338
Fax: (814) 835-3668

The enumeration date for this NPI number is 1/19/2006 and was last updated on 5/30/2008.

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	213ES0103X	Podiatrist	Foot & Ankle Surgery	SC001726L	PENNSYLVANIA	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	T28345	MEDICARE UPIN
2	085748	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA
3	000863022	MEDICAID	PENNSYLVANIA

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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