DR. ADAM SANFORD NIELSON MD NPI 1790756815

NPI Information

NPI: 1790756815
Provider Name: DR. ADAM SANFORD NIELSON, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Organization: THE ER GROUP, LLC

PECOS Registration: Yes

Address:
8772 STONY CREEK DRIVE
COLORADO SPRINGS, CO
ZIP 80924
Phone: (719) 282-8710
Get Directions

DR. Adam Sanford Nielson, MD is a general practice in Colorado Springs, CO with 21 years of experience. DR. Adam Sanford Nielson, MD NPI is 1790756815. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduation Year:2003

The provider's business location address is:

8772 STONY CREEK DRIVE
COLORADO SPRINGS, CO
ZIP 80924
Phone: (719) 282-8710
Fax: (719) 282-8710

The NPI 1790756815 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/27/2006 and was last updated on 8/4/2010.

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	207P00000X	Emergency Medicine		MD60130455	WASHINGTON	No
2	208D00000X	General Practice		23355	NEBRASKA	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	G8892533	MEDICARE PIN	WASHINGTON
2	1790756815	MEDICAID	MONTANA
3	1790756815	MEDICAID	WASHINGTON

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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