MONICA RUDESTAM (NPI# 1235418625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235418625 |
| Entity Type | Organization |
| Organization Name | MONICA RUDESTAM |
| Practice Address |
14936 3rd St Ne Aurora OR 97002-9221 |
| Mailing Address |
Po Box 115 Aurora OR 97002-0115 |
| Practice Telephone | 9714094049 |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2011-08-16 |
| Authorized Official Name | MONICA RUDESTAM (SOLE PROPRIETOR) |
| Authorized Official Telephone | 9714094049 |
| Authorized Official Credential | L.AC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | AC150554 | OR | Managed Care Organizations |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MONICA RUDESTAM LAC, LLC | 21358 Hwy 99e, Aurora, OR 97002 |
| Street Address |
14936 3RD ST NE |
| City | AURORA |
| State | OR |
| Zip Code | 97002-9221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689141558 | Skyler Anderson | Nurse Practitioner | 21358 Or 99 E, Aurora, OR 97002 | 2018-10-30 |
| 1487919783 | Aurora Family Health and Maternity Care Services LLC | Clinic/Center | 21358 Hwy 99e Ne, Aurora, OR 97002 | 2012-07-12 |
| 1295002129 | Marilee J Sullivan | Dental Hygienist | 21186 Sayre Drive, Aurora, OR 97002 | 2011-11-21 |
| 1386837367 | Life Flight Network LLC | Ambulance | 22285 Yellow Gate Lane, Suite 102, Aurora, OR 97002 | 2007-08-22 |
| 1033288030 | Robin Schaefer | Chiropractor | 21398 Highway 99e, Aurora, OR 97002 | 2006-11-06 |
| 1306253935 | Sequoia Mental Health Inc. | Community Based Residential Treatment Facility, Mental Illness | 511 Sw 10th Avenue, Portland, OR 97002 | 2014-07-15 |
| 1114203718 | Adam Clyde Burrill | Acupuncturist | 21358 Highway 99e Ne, Aurora, OR 97002 | 2011-10-26 |
| 1881750032 | Kay Lynette Stradinger | Psychologist | 27332 S Meridian Rd, Aurora, OR 97002-8314 | 2006-12-29 |
| 1437301884 | Regina Sunshine Flanagan | Naturopath | 28066 S Meridian Rd, Aurora, OR 97002-8321 | 2008-10-16 |
| 1184039190 | Sarah M. Geisler | Registered Nurse | 13448 Ne Denbrook Rd, Aurora, OR 97002-8553 | 2014-06-27 |
| Find all providers in zip 97002 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649787599 | Diabetes Wellness Solutions, LLC | Preferred Provider Organization | 23911 E Arapahoe Rd, Aurora, CO 80016-4120 | 2018-01-01 |
| 1902275209 | Life Balance Counseling | Preferred Provider Organization | 2323 S Troy St Ste 256, Aurora, CO 80014-1946 | 2015-09-17 |
| 1780092056 | Community Re-entry Place Inside/out | Preferred Provider Organization | 14221 E 4th Ave Ste 330, Aurora, CO 80011-8727 | 2014-07-30 |
| 1881026854 | Aurora Dental Group LLC | Preferred Provider Organization | 1344 S Chambers Rd Ste 201, Aurora, CO 80017-4096 | 2013-08-01 |
| 1487801890 | Optimum Chiropractic Center, S.c. | Preferred Provider Organization | 1013 Audubon Ln, Aurora, IL 60506-8853 | 2008-08-27 |
| 1629078993 | Rocky Mountain Infectious Disease Specialists, P.C. | Preferred Provider Organization | 1550 S Potomac St, Suite 270, Aurora, CO 80012-5455 | 2005-07-28 |
| 1720457435 | Access Management Services | Preferred Provider Organization | 11100 E Bethany Dr, Aurora, CO 80014 | 2015-09-23 |
| 1972904282 | Meadow Lake Dental LLC | Preferred Provider Organization | 3941 75th St, Suite 102, Aurora, IL 60504-7924 | 2014-09-07 |
| 1386941748 | Eyeland Optical Corporation | Preferred Provider Organization | 26 E Downer Pl, Aurora, IL 60505-3302 | 2011-02-22 |
| 1639323496 | Clinica Dental Latina | Preferred Provider Organization | 11175 E Mississippi Ave, Suite 100, Aurora, CO 80012-3137 | 2008-11-06 |
| Find all providers in AURORA | ||||
Please comment or provide details below to improve the information on MONICA RUDESTAM.
| 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.