Provider Demographics
NPI:1548259229
Name:GOES, NELSON B (MD)
Entity type:Individual
Prefix:
First Name:NELSON
Middle Name:B
Last Name:GOES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1800 HARRISON ST FL 7
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-3466
Mailing Address - Country:US
Mailing Address - Phone:510-625-4101
Mailing Address - Fax:
Practice Address - Street 1:1124 COLUMBIA ST STE 600
Practice Address - Street 2:SWEDISH ORGAN TRANSPLANT
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2046
Practice Address - Country:US
Practice Address - Phone:206-386-3903
Practice Address - Fax:206-386-3622
Is Sole Proprietor?:No
Enumeration Date:2005-10-17
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA60181795207RN0300X
MA159588207RN0300X
CAC161769207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA203754OtherTUFTS
MA0135933Medicaid
MAJ23570OtherBLUE CROSS BLUE SHIELD
MAH25940OtherHARVARD PILGRIM HEALTHCAR
MAA31675Medicare ID - Type Unspecified
MAH25940OtherHARVARD PILGRIM HEALTHCAR