Individual
SCOTT M NELSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9500 MENTOR AVE, #200, MENTOR, OH 44060-8713
(440) 352-1474
(440) 352-2662
Mailing address
9500 MENTOR AVE, #200, MENTOR, OH 44060-8713
(440) 352-1474
(440) 352-2662
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35-05-1360-N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000133451
ANTHEM
OH
01
—
04001184
TRAVELERS RAILROAD MEDICA
OH
05
—
0578101
—
OH
01
—
104634
KAISER
OH
01
—
3415313198A11
BCBS
OH
01
—
71359
QUALCHOICE
OH
Enumeration date
01/27/2006
Last updated
07/08/2007
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