AARON GOERTZEN (NPI# 1598890717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598890717 |
Entity Type | Individual |
Full Name | AARON GOERTZEN |
Practice Address |
790 S Franklin St Fort Bragg CA 95437-5456 |
Mailing Address |
32861 Parkview Dr Fort Bragg CA 95437-8542 |
Practice Telephone | 7079644747 |
Practice Fax Number | 7079612698 |
Enumeration Date | 2007-02-21 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251K00000X | Public Health or Welfare | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588116537 | Aaron Goertzen | Student in an Organized Health Care Education/Training Program | 1450 Western Ave, Suite 102, Albany, NY 12203-3539 | 2016-10-25 |
Street Address |
790 S FRANKLIN ST |
City | FORT BRAGG |
State | CA |
Zip Code | 95437-5456 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528104387 | County of Mendocino | Public Health or Welfare | 790 S Franklin St, Fort Bragg, CA 95437-5456 | 2007-01-29 |
1508214057 | Ilona Marcello | Counselor | 790 S Franklin St, Fort Bragg, CA 95437-5456 | 2016-05-25 |
1831478148 | County of Mendocino | Clinic/Center | 790 S Franklin St, Suite #b, Fort Bragg, CA 95437-5456 | 2011-08-04 |
1902036841 | Cathy Ann Fantulin | Registered Nurse | 790 S Franklin St, Fort Bragg, CA 95437-5456 | 2009-07-24 |
1861538548 | Julie Elkins | Licensed Psychiatric Technician | 790 S Franklin St, B, Fort Bragg, CA 95437-5456 | 2007-01-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902357437 | Mendocino Coast Hospitality Center | Community/Behavioral Health | 137 E. Oak Street, Fort Bragg, CA 95437 | 2016-10-19 |
1144604570 | Erin Paul | Community Health Worker | 474 South Franklin Street, Fort Bragg, CA 95437 | 2015-07-15 |
1508125790 | Joel Macgregor Green | Marriage & Family Therapist | 331- G Redwood Ave., Fort Bragg, CA 95437 | 2012-05-09 |
1013244102 | Jenna Glasscock | Counselor | 331 E Redwood Ave, Ste E, Fort Bragg, CA 95437 | 2009-11-10 |
1770819641 | Patrick Lenaghan | Emergency Medicine | 707 River Dr, Fort Bragg, CA 95437 | 2009-10-27 |
1043455827 | M. Lee Baker | Dentist | 890 River Dr, Fort Bragg, CA 95437 | 2008-12-09 |
1528250495 | Christine Anne Samas | Social Worker | 656a Harrison St., Fort Bragg, CA 95437 | 2007-08-15 |
1083822811 | Katharine L. White | Marriage & Family Therapist | 137 E Oak Street, Fort Bragg, CA 95437 | 2007-05-17 |
1053525873 | Marty Christine Johnson | Marriage & Family Therapist | 331 E. Redwood Ave, Fort Bragg, CA 95437 | 2007-05-10 |
1528114741 | Kate Teresa Donohue | Psychologist | 19201 Noyo Acres Dr, Fort Bragg, CA 95437 | 2007-01-29 |
Find all providers in zip 95437 |
Taxonomy Code | 251K00000X |
Grouping | Agencies |
Classification | Public Health or Welfare |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528104387 | County of Mendocino | Public Health or Welfare | 790 S Franklin St, Fort Bragg, CA 95437-5456 | 2007-01-29 |
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Find all providers with the same taxonomy |
City | FORT BRAGG |
Zip Code | 95437 |
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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.