MARIJO NICOLE AGUILERA (NPI# 1316073448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316073448 |
| Entity Type | Individual |
| Full Name | MARIJO NICOLE AGUILERA |
| Other Name | MARIJO NICOLE SOREM |
| Credential | MD |
| Practice Address |
205 Wabasha St S Saint Paul MN 55107 |
| Mailing Address |
8170 33rd Ave S # Ms 21110q Minneapolis MN 55425-4516 |
| Practice Telephone | 6512938100 |
| Practice Fax Number | 6512938105 |
| Mailing Telephone | 6512938100 |
| Mailing Fax Number | 6512938106 |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2019-07-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
51556 | MN | Allopathic & Osteopathic Physicians |
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
51556 | MN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 420 Delaware St Se, Mmc 395, Minneapolis, MN 554550341 | 6126263111 | |
| 902 E 26th St, Minneapolis, MN 554044514 | 6128634502 | 6128635697 |
| Street Address |
205 WABASHA ST S |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730184078 | Chokchai Chareandee | Internal Medicine | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2005-06-14 |
| 1699334904 | Jessica Determan | Nurse Practitioner | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2019-06-10 |
| 1326517541 | Julian Andres Larrea Saavedra | Physician Assistant | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2018-11-16 |
| 1053818252 | Mackenzie Thayer | Student in an Organized Health Care Education/Training Program | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2018-04-12 |
| 1215436076 | Mardiya Kassim Jaffer | Nurse Practitioner | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2018-02-07 |
| 1023522877 | Samantha Zarske | Physician Assistant | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2017-11-30 |
| 1184134173 | Ghada Elnashar | Pharmacist | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2017-10-04 |
| 1972022267 | Allison Brooks | Nurse Practitioner | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2017-09-18 |
| 1982132536 | Erin Galegher | Advanced Practice Midwife | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2017-05-26 |
| 1679016000 | Juliana Huber | Nurse Practitioner | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2016-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477944809 | Marina Castillo | Counselor | 143 Isabel St. W, Saint Paul, MN 55107 | 2015-02-06 |
| 1134540123 | Michelle M Lee | Social Worker | 106 Water Street/3rd Floor, Umbrella Tree Studios, St. Paul, MN 55107 | 2013-12-18 |
| 1376748574 | Mary E. A. Horoshak | Physical Therapist | 155 S Wabasha St, Suite 130, St. Paul, MN 55107 | 2007-06-18 |
| 1821156050 | Amherst H. Wilder Foundation | Assisted Living Facility | 469 Ada St, Saint Paul, MN 55107 | 2006-12-04 |
| 1407914674 | Amherst H. Wilder Foundation | Clinic/Center | 516 Humboldt Ave, Saint Paul, MN 55107 | 2006-12-04 |
| 1780753681 | Chad Randal Vickers | Nurse Practitioner | 135 Colorado Street East, Saint Paul, MN 55107 | 2006-11-06 |
| 1225122872 | Elizabeth E Frost | Family Medicine | 153 Cesar Chavez Street, St Paul, MN 55107 | 2006-10-03 |
| 1619413606 | Elizabeth Burgos | Social Worker | 153 Cesar Chavez St, Saint Paul, MN 55107 | 2017-01-13 |
| 1033561915 | Isetta Pierre | Marriage & Family Therapist | 153 Cesar Chavez St, Saint Paul, MN 55107 | 2016-07-05 |
| 1366819609 | Brittany Leach | Advanced Practice Midwife | 624 Smith Ave S, Saint Paul, MN 55107 | 2015-08-21 |
| Find all providers in zip 55107 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235369489 | Perinatology Consultations, LLC | Obstetrics & Gynecology | 514 Saint Peter St, Suite 230, Saint Paul, MN 55102-1001 | 2009-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598110991 | Kathleen Lorenz | Obstetrics & Gynecology | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-05-04 |
| 1083011795 | Hiba Mustafa | Obstetrics & Gynecology | 701 Park Ave, Minneapolis, MN 55415-1623 | 2014-11-24 |
| 1629243415 | Matthew H. Loichinger | Obstetrics & Gynecology | 902 E 26th St Ste 1700, Minneapolis, MN 55404 | 2008-04-23 |
| 1528174984 | Mary Patricia O'day | Obstetrics & Gynecology | 400 E 3rd St, Duluth, MN 55805-1951 | 2006-08-21 |
| 1790745040 | Judith A Ney | Obstetrics & Gynecology | 800 E 28th St, Minneapolis, MN 55407-3723 | 2006-03-23 |
| 1760441398 | Kathleen M Pfleghaar | Obstetrics & Gynecology | 1406 6th Ave N, Saint Cloud, MN 56303-1901 | 2006-03-22 |
| 1003891565 | Leslie Pratt | Obstetrics & Gynecology | 3931 Louisiana Ave S, Ste E111, St Louis Park, MN 55426-4375 | 2005-12-07 |
| 1033119698 | Janyne Edith Althaus | Obstetrics & Gynecology | 400 E 3rd St, Duluth, MN 55805-1951 | 2005-07-26 |
| City | SAINT PAUL |
| Zip Code | 55107 |
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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.