AUREUS MEDICAL MANAGEMENT SERVICES LLC (NPI# 1083100754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083100754 |
| Entity Type | Organization |
| Organization Name | AUREUS MEDICAL MANAGEMENT SERVICES LLC |
| Other Organization Name | AUREUS RADIOLOGY LLC & AUREUS NURSING LLC |
| Practice Address |
13609 California St Omaha NE 68154-5260 |
| Practice Telephone | 4029382050 |
| Mailing Telephone | 4029382050 |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2018-07-06 |
| Authorized Official Name | DR. BARBARA BERNER (MANAGER, OPERATIONAL COMPLIANCE) |
| Authorized Official Telephone | 4029382050 |
| Authorized Official Credential | DHSC, PMHNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| AUreus Radiology LLC & Aureus Nursing LLC | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2425 S 171st St, Omaha, NE 681302393 | 4029382050 | |
| 17040 Frances St, Omaha, NE 681302313 | 4029382050 |
| Street Address |
13609 CALIFORNIA ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68154-5260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255503546 | Gertrude M Maes | Physical Therapist | 13609 California St, Omaha, NE 68154-5260 | 2008-03-27 |
| 1295294577 | Mary Catherine Reagan | Occupational Therapist | 13609 California St, Omaha, NE 68154-5260 | 2019-03-17 |
| 1730644659 | Ashley Nicole Wooldridge | Physical Therapist | 13609 California St, Omaha, NE 68154-5260 | 2019-02-05 |
| 1598245839 | Michelle Kempf | Physical Therapy Assistant | 13609 California St, Omaha, NE 68154-5260 | 2018-08-16 |
| 1235642638 | Marina Soledad Amen - Walker | Occupational Therapy Assistant | 13609 California St, Omaha, NE 68154-5260 | 2017-11-08 |
| 1982137048 | Brittany Beasley | Physical Therapist | 13609 California St, Omaha, NE 68154-5260 | 2017-04-06 |
| 1881126670 | Erica Knizacky | Occupational Therapy Assistant | 13609 California St, Omaha, NE 68154-5260 | 2017-03-30 |
| 1477091569 | Alyssa Eich | Occupational Therapist | 13609 California St, Omaha, NE 68154-5260 | 2017-02-08 |
| 1497291231 | Barbara Fleege | Occupational Therapist | 13609 California St, Suite 200, Omaha, NE 68154-5260 | 2017-01-18 |
| 1316483795 | Lindsey Doan | Physical Therapist | 13609 California St, Omaha, NE 68154-5260 | 2017-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275149262 | Vervech | Counselor | 11422 Miracle Hills Drive, Suite 401, Omaha, NE 68154 | 2020-09-16 |
| 1891318150 | Pure Massage, LLC | Massage Therapist | Pure Massage, LLC, 11316 Davenport St, Omaha, NE 68154 | 2020-05-21 |
| 1326682592 | Andrea Dawn Degner | Counselor | 11580 W. Dodge Frontage Rd, Omaha, NE 68154 | 2019-10-31 |
| 1669035150 | Gerard Thomas IIi | Physical Therapist | Triage LLC, 12020 Pacific Street, Omaha, NE 68154 | 2019-04-19 |
| 1306311352 | Sakrx, LLC | Pharmacy | 624 N 114th St, Omaha, NE 68154 | 2018-10-05 |
| 1033622782 | Raquelle G. Rowe | Registered Nurse | 11840 Nicholas Street Suite 215, Med Staff, Omaha, NE 68154 | 2017-11-15 |
| 1336680396 | Kristi Bose | Nurse Practitioner | 11422 Miracle Hills Dr Ste 401, Omaha, NE 68154 | 2017-03-10 |
| 1326442781 | Heather Andsager | Pharmacy Technician | 13360 California Street, Omaha, NE 68154 | 2014-10-14 |
| 1073917605 | Ann Leever | Pharmacist | 505 N 155th Plaza, Omaha, NE 68154 | 2014-10-10 |
| 1689078222 | Melissa Svec | Emergency Medical Technician, Basic | 1705 N 121st St #203, Omaha, NE 68154 | 2014-10-10 |
| Find all providers in zip 68154 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447723325 | Infinite Options LLC | General Practice | 17650 Wright St Ste 5, Omaha, NE 68130-2800 | 2019-01-03 |
| 1013283431 | Daniel J Gross | General Practice | 1501 Jackson St Ste 100, Omaha, NE 68102-3146 | 2012-03-29 |
| 1255644787 | Joseph Kennedy Costello Iv | General Practice | 224 N. 49th St. #4a, Omaha, NE 68132 | 2010-07-26 |
| 1326369075 | Gbgh | General Practice | 12309 Gold Street, Omaha, NE 68144-2760 | 2010-06-17 |
| 1477875649 | James Bane | General Practice | 11106 N 61st St, Omaha, NE 68152-1470 | 2010-02-15 |
| 1902058381 | Antoinette Louise Tribulato | General Practice | 405 N 39th St, Omaha, NE 68131-2308 | 2008-10-16 |
| 1801076559 | Kay E Ticen Md | General Practice | 6818 Grover St Ste 201, Omaha, NE 68106-3632 | 2007-11-10 |
| 1639371099 | Ronald Iver Peterson | General Practice | 6025 Country Club Oaks Place, Omaha, NE 68152-2009 | 2007-06-05 |
| 1033267406 | Vijay Kumar Agarwal | General Practice | 727 N 120th St, Omaha, NE 68154-4212 | 2007-01-08 |
| 1225660244 | 88 Medicine LLC | General Practice | 17650 Wright St Ste 5, Omaha, NE 68130-2800 | 2020-02-07 |
| Find all providers in OMAHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.