DR. JOE ROTH NIELSEN M.D. NPI 1992766885

NPI Details

DR. Joe Roth Nielsen, M.D. is a specialist in Bountiful, UT with 42 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Joe Roth Nielsen, M.D. NPI is 1992766885. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduation Year:1984

The provider's business location address is:

415 MEDICAL DR
#D-200
BOUNTIFUL, UT
ZIP 84010-946
Phone: (801) 292-6277
Fax: (801) 292-1108

The NPI 1992766885 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 CLIA number assigned to this NPI record is 46D0522501 - physician office with a certificate type of Certificate of Compliance.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
• Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
• Destruction of skin growth, 1-14 growths (HCPCS:17110)
• Biopsy of related skin growth, first growth (HCPCS:11102)
• Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm (HCPCS:17281)
• Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
• Biopsy of related skin growth, each additional growth (HCPCS:11103)
• Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm (HCPCS:17271)
• Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
• Destruction of precancer skin growth, 1 growth (HCPCS:17000)
• Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm (HCPCS:17261)
• Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm (HCPCS:17282)
• Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm (HCPCS:17272)
• Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm (HCPCS:17262)

The enumeration date for this NPI number is 3/30/2006 and was last updated on 8/10/2010.

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:

Other Identifiers

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