DR. KEITH G NELSON D.O. NPI 1811001167

NPI Information

NPI: 1811001167
Provider Name: DR. KEITH G NELSON, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
463 E CIRCLE DR
EAST LANSING, MI
ZIP 48824
Phone: (517) 884-6546
Get Directions

DR. Keith G Nelson, D.O. is a family medicine in East Lansing, MI. The provider is family 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. DR. Keith G Nelson, D.O. NPI is 1811001167. 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:

463 E CIRCLE DR
EAST LANSING, MI
ZIP 48824-500
Phone: (517) 884-6546
Fax: (517) 432-9460

The NPI 1811001167 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 8/17/2006 and was last updated on 6/13/2016.

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	207Q00000X	Family Medicine		5101010456	MICHIGAN	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	Other Provider Identifier Issuer
1	0100197	OTHER	MICHIGAN	PHP
2	5330084	OTHER	MICHIGAN	BLUE CARE NETWORK
3	F13221	MEDICARE UPIN	MICHIGAN
4	P19420001	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
5	1811001167	MEDICAID	MICHIGAN
6	4756782	MEDICAID	MICHIGAN

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: 5/5/2024

NPI Synchronization or Removal

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