MR. AARON WILLIAM DOOLEY


Address: 1253 James Ave, Saint Paul, MN 55105-2947
Phone: 6513345469

MR. AARON WILLIAM DOOLEY (NPI# 1649518762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649518762
Entity Type Individual
Full Name MR. AARON WILLIAM DOOLEY
Credential C PED
Practice Address 1253 James Ave
Saint Paul
MN 55105-2947
Practice Telephone 6513345469
Practice Fax Number 6513199003
Mailing Telephone 6513345469
Mailing Fax Number 6513199003
Enumeration Date 2013-01-24
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 225000000X Orthotic Fitter CPED3494 MN Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 224L00000X Pedorthist CPED3494 MN Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2611 Schaller Dr E, Maplewood, MN 551195868 6513345469 8002850337

Office Location

Street Address 1253 JAMES AVE
City SAINT PAUL
State MN
Zip Code 55105-2947

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1679020226 Internal Revolution Counseling and Consulting, L.L.C. Psychologist 1123 Grand Avenue, Suite 201, Saint Paul, MN 55105 2016-09-01
1487059689 Jennifer Mason Lactation Consultant, Non-RN 1382 Summit Ave, Saint Paul, MN 55105 2014-10-30
1679818850 Marc Lane Wolfson Registered Nurse 1148 Grand Avenue, St. Paul, MN 55105 2012-11-29
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Taxonomy Information

Taxonomy Code 224L00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Pedorthist

Taxonomy Definition

An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1568773679 Charles Glen Mickelson Pedorthist 423 12th Ave. North, South St. Paul, MN 55075-1915 2010-06-24

Competitor

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City SAINT PAUL
Zip Code 55105

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Dataset Information

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.

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