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NPI Code Detail

MEDICARE: SCOTT R NELSON MD

MEDICARE: SCOTT R NELSON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RP1001XPulmonary Disease Physician35.099955OH
2207RP1001XPulmonary Disease Physician23423KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10620626OTHEROMA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760589279
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT R NELSON MD
Provider Business Mailing Address
First Line : PO BOX 2379
Second Line :
City : ASHLAND
State : KY
Zip : 41105-2379
Country : US
Telephone Number : 606-329-1185
Fax Number : 606-324-0585
Provider Business Practice Location Address
First Line : 613 23RD ST STE G30
Second Line :
City : ASHLAND
State : KY
Zip : 41101-2881
Country : US
Telephone Number : 606-408-5864
Fax Number : 606-408-6499
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2006
Last Update Date : 02/28/2022

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Directions to “ SCOTT R NELSON MD” Practice Location

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