JOHN F NIELSEN M D FAMILY MEDICINE PA NPI 1003006065

Family Medicine in Carthage, TX

About JOHN F NIELSEN M D FAMILY MEDICINE PA

John F Nielsen M D Family Medicine Pa is a provider in Carthage, TX. The NPI number assigned to this provider is 1003006065. The practitioner's primary taxonomy code is Family Medicine (207Q00000X). The provider is registered as an organization and their NPI record was last updated 7 years ago. John F Nielsen M D Family Medicine Pa operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

NPI1003006065 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameJOHN F NIELSEN M D FAMILY MEDICINE PA
Provider Location Address702 DAVIS ST STE 4 CARTHAGE, TX 75633 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address702 DAVIS ST STE 4 CARTHAGE, TX 75633 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date07-26-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date10-19-2010 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

JOHN F NIELSEN M D FAMILY MEDICINE PA
702 DAVIS ST STE 4
CARTHAGE, TX
ZIP 75633
Phone: (903) 694-4991
Fax: (903) 694-4995
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Mailing Address

JOHN F NIELSEN M D FAMILY MEDICINE PA
702 DAVIS ST STE 4
CARTHAGE, TX
ZIP 75633
Phone: (903) 694-4991
Fax: (903) 694-4995

Primary Taxonomy

Taxonomy Code207Q00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.J8333
License StateTX
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Authorized Official

Authorized Official NameDR. JOHN FRANCIS NIELSEN M.D Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitlePRESIDENT
Authorized Official Phone(903) 694-4991

193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0052JKOTHER (01)TX
G01263MEDICARE UPIN (02)TX
160376301MEDICAID (05)TX
00706UMEDICARE PIN (08)TX

Map Location


JOHN F NIELSEN M D FAMILY MEDICINE PA address is 702 DAVIS ST STE 4 CARTHAGE, TX 75633