Provider Demographics
NPI:1427040187
Name:HELD, CHARLES NELSON (MD)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:NELSON
Last Name:HELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 SPRINGER CT
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-3408
Mailing Address - Country:US
Mailing Address - Phone:775-781-1407
Mailing Address - Fax:775-359-1497
Practice Address - Street 1:2145 GREEN VISTA DR
Practice Address - Street 2:SUITE 112
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-8543
Practice Address - Country:US
Practice Address - Phone:775-781-1407
Practice Address - Fax:775-359-1497
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-18
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3790207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
C96434Medicare UPIN
NV37168Medicare ID - Type Unspecified
NV40154Medicare ID - Type Unspecified