AURORA AESTHETICS AND FUNCTIONAL MEDICINE CLINIC, PLLC (NPI# 1184231979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184231979 |
| Entity Type | Organization |
| Organization Name | AURORA AESTHETICS AND FUNCTIONAL MEDICINE CLINIC, PLLC |
| Practice Address |
713 1st Ave Nw Mount Vernon IA 52314-1478 |
| Practice Telephone | 9073507228 |
| Mailing Telephone | 9073507228 |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |
| Authorized Official Name | STEPHANIE M FRIESS (PARTNER) |
| Authorized Official Telephone | 9073507228 |
| Authorized Official Credential | ANP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Aurora Functional Medicine & Aesthetics Clinic | Doing Business As Name - Organization |
| Street Address |
713 1ST AVE NW |
| City | MOUNT VERNON |
| State | IA |
| Zip Code | 52314-1478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649217886 | Stephanie Michele Friess | Nurse Practitioner | 713 1st Ave Nw, Mount Vernon, IA 52314-1478 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851756670 | Alexander J J Hale | Specialist/Technologist | 1010 Palisades Road Sw, Mount Vernon, IA 52314 | 2015-12-21 |
| 1407248412 | Sabrina Rogers | Counselor | 301 Hwy 1 Se Ste B, Mt Vernon, IA 52314 | 2015-02-27 |
| 1760792899 | Krista Joi Ringwald | Pharmacist | 113 First St East, Mount Vernon, IA 52314 | 2010-10-07 |
| 1689862393 | Mary A Mosher | Pharmacist | 113 1st Street E., Mount Vernon, IA 52314 | 2007-10-09 |
| 1174720940 | Mercy Physician Associates, Inc | Family Medicine | 310 Highway 1 Se, Mt. Vernon, IA 52314 | 2007-06-27 |
| 1831248723 | Brad Allen Kluver | Chiropractor | 111 1st Street East, Mount Vernon, IA 52314 | 2007-01-09 |
| 1578559829 | Monica Ann Meeker | Family Medicine | 421 3rd Avenue South, Mount Vernon, IA 52314 | 2005-09-22 |
| 1972034064 | Emily Martin | Specialist/Technologist | 600 1st St, Mount Vernon, IA 52314 | 2017-03-21 |
| 1558564450 | Dawn M. Gaffney, Dds, LLC | Dentist | 801 Hwy 30 W, Mount Vernon, IA 52314-0202 | 2007-06-07 |
| 1518468156 | Kelly Leeper | Specialist/Technologist | 600 1st St Sw, Mount Vernon, IA 52314-1006 | 2018-02-27 |
| Find all providers in zip 52314 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851859961 | Lower Westchester Medical Associates, P.C. | Clinic/Center | 105 Stevens Ave Ste 305306, Mount Vernon, NY 10550-2686 | 2019-03-07 |
| 1386817575 | Karen Lee, A.r.n.p., Inc | Clinic/Center | 1725 S 10th St, Mount Vernon, WA 98274-5029 | 2008-04-08 |
| 1366432130 | Prompt Care | Clinic/Center | 2712 Broadway St, Mount Vernon, IL 62864-2342 | 2005-10-24 |
| 1407250624 | Mount Vernon Medical Practice | Clinic/Center | 153 Stevens Ave, Suite 4, Mount Vernon, NY 10550-2543 | 2014-10-17 |
| 1609121854 | Cascade Clinic Walk In and Primary Care LLC | Clinic/Center | 1420 Roosevelt Ave Ste 4, Mount Vernon, WA 98273-2687 | 2012-07-13 |
| 1760774848 | Ramesh S. Naik Physicians P.l.l.c. | Clinic/Center | 105 Stevens Ave, 508, Mount Vernon, NY 10550-2686 | 2011-05-09 |
| 1265600332 | James A Rice LLC | Clinic/Center | 232 Walnut St, Mount Vernon, IN 47620-1857 | 2008-02-12 |
| 1023235348 | Anderson Family Practice | Clinic/Center | 3505 Broadway St, Mount Vernon, IL 62864-2202 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114568748 | Careatc | Clinic/Center | 3839 Merle Hay Rd Ste 120, Des Moines, IA 50310-1338 | 2019-10-04 |
| 1902269632 | Prairie City Family Clinic | Clinic/Center | 1316 Joshua Ct Se, Bondurant, IA 50035-4700 | 2016-03-31 |
| 1891176285 | Liautaud Family Chiropractic LLC | Clinic/Center | 114 1/2 E Monroe St, Pleasantville, IA 50225-7744 | 2015-06-11 |
| 1669893988 | Winneshiek Medical Center | Clinic/Center | 112 East Main St., Ossian, IA 52101 | 2014-01-06 |
| 1366882300 | Cedar Falls Pediatrics LLC | Clinic/Center | 113 E 18th St, Cedar Falls, IA 50613-4288 | 2013-07-03 |
| 1285996215 | Aguirrefamily Care | Clinic/Center | 1505 Lynx Ave, Webster City, IA 50595-2634 | 2012-06-14 |
| 1770853988 | Huff Chiropractic P.C. | Clinic/Center | 1010 Caroline Ter, Indianola, IA 50125-1009 | 2012-01-04 |
| 1073821427 | Cascade Medical Center | Clinic/Center | 610 2nd Ave Ne, Cascade, IA 52033-7760 | 2010-09-20 |
| 1184931230 | Farid Sadr, P.C. | Clinic/Center | 801 Harmony St Ste 202, Council Bluffs, IA 51503-3106 | 2010-09-10 |
| 1124357991 | George T. Kappos, Md | Clinic/Center | 109 2nd Street, Polk City, IA 50226 | 2009-12-08 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT VERNON |
| Zip Code | 52314 |
Please comment or provide details below to improve the information on AURORA AESTHETICS AND FUNCTIONAL MEDICINE CLINIC, PLLC.
| 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.