NEXUS (NPI# 1851905251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851905251 |
| Entity Type | Organization |
| Organization Name | NEXUS |
| Practice Address |
2121 Campus Dr Se Rochester MN 55904-4744 |
| Practice Telephone | 7635518640 |
| Mailing Telephone | 7635518640 |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |
| Authorized Official Name | KENNETH D VARBLE (CORPORATE CONTROLLER) |
| Authorized Official Telephone | 7635518640 |
| Authorized Official Credential | EDD |
| Is Organization Subpart | Y |
| Parent Organization Name | FEIN |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 22-2222222 | 05 | |
| MN | FEE FOR SERVICE | 11-1111111 | 01 |
| Other Name | Type Code |
|---|---|
| SERCC-Nexus | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093162232 | Nexus | Community Based Residential Treatment Facility, Mental Illness | 312 Elm St S, Onamia, MN 56359-4013 | 2016-05-18 |
| 1811193188 | Nexus | Substance Abuse Rehabilitation Facility | 100 Crosier Dr, Suite 1, Onamia, MN 56359-4512 | 2007-06-25 |
| 1700958881 | Nexus | Community Based Residential Treatment Facility, Mental Illness | 407 130th Avenue South, Onamia, MN 56359 | 2006-11-14 |
| 1457802852 | Nexus | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 407 130th Ave S, Onamia, MN 56359-3115 | 2016-10-20 |
| 1366897753 | Nexus | Residential Treatment Facility, Emotionally Disturbed Children | 14300 County Road 62, Minnetonka, MN 55345-6706 | 2016-05-04 |
| 1366783292 | Nexus | Residential Treatment Facility, Emotionally Disturbed Children | 210 S Washington Ave, Kankakee, IL 60901-3781 | 2013-03-01 |
| 1942579743 | Nexus | Residential Treatment Facility, Emotionally Disturbed Children | 110 N Locust St, Onarga, IL 60955-1213 | 2011-12-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NEXUS | 7181 N Hualapai Way Ste 130-880, Las Vegas, NV 89166-1115 |
| Colorado Business Entities | NEXUS | 17025 E. Carlson Dr, Parker, CO 80134 |
| New York State Corporations | NEXUS 101 LLC | 10 Marions Lane, Fort Salonga, New York 11768 |
| New York State Corporations | NEXUS 102 LLC | 10 Marions Lane, Fort Salonga, Ny 11768 |
| New York State Corporations | NEXUS 106 LLC | 10 Marions Lane, Fort Salonga, Ny 11768 |
| New York State Corporations | NEXUS 108 LLC | Holly Wohl, 10 Marions Lane, Fort Salonga, Ny 11768 |
| New York State Corporations | NEXUS 110 LLC | 10 Marions Lane, Fort Salonga, Ny 11768 |
| Washington State Corporations | NEXUS 1100 LLC | 16365 Ne 117th Ct, Redmond, WA 98052-2394 |
| New York State Corporations | NEXUS 111 LLC | 10 Marions Lane, Fort Salonga, Ny 11768 |
| New York State Corporations | NEXUS 113 LLC | 250 Park Ave., 11th Fl., New York, Ny 10177 |
| Street Address |
2121 CAMPUS DR SE |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55904-4744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558912303 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1200 Eastgate Drive S.e., Rochester, MN 55904 | 2019-09-24 |
| 1952954992 | Jane Yaakni Hopaki | Midwife | 1224 Eastgate Dr Se, Rochester, MN 55904 | 2019-07-18 |
| 1851896187 | Hamdi A Ali | Pediatrics | 26 Mayo Park Dr Se, Rochester, MN 55904 | 2018-03-28 |
| 1255847059 | Brooke Maleszewski | Nurse Practitioner | 821 3rd Ave Se Ste 15, Rochester, MN 55904 | 2017-12-17 |
| 1699215988 | Maximus Language Resources | Interpreter | 1775 3rd Ave Se, Rochester, MN 55904 | 2017-03-06 |
| 1215484803 | Kylene Starr Allen | Social Worker | 343 Woodlake Dr. Se, Zumbro Valley Health Center, Rochester, MN 55904 | 2016-09-01 |
| 1013384627 | Breathe Easy Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 40 16th St. Sw Suite G, Rochester, MN 55904 | 2015-08-31 |
| 1932473105 | Michelle Lee Sather | Counselor | 343 Woodlake Drive Se, Rochester, MN 55904 | 2012-03-05 |
| 1538453022 | Amy M Carey | Social Worker | 40 16th Street Sw, Suite D, Rochester, MN 55904 | 2011-06-02 |
| 1396059895 | Lisa Marie Bingham | Optometrist | 111 S. Broadway, Rochester, MN 55904 | 2010-07-27 |
| Find all providers in zip 55904 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255728143 | Blanca Yvette Valdovinos | Psychiatry & Neurology | 919 Westfall Rd Building C, Suite 100, Rochester, NY 14618-0001 | 2015-04-19 |
| 1881000271 | James Young Shou | Psychiatry & Neurology | 1425 Portland Ave # 220, Rochester, NY 14621-3011 | 2014-07-07 |
| 1891059259 | Karlo John Lizarraga Mendoza | Psychiatry & Neurology | 919 Westfall Rd., Building C, Suite 100, Rochester, NY 14618-2692 | 2012-06-30 |
| 1316213291 | Christopher Tarolli | Psychiatry & Neurology | 601 Elmwood Ave Box Mind, University of Rochester Medical Ctr, Rochester, NY 14642-0001 | 2012-03-26 |
| 1235388521 | Donald W Klass | Psychiatry & Neurology | 956 14th Ave Sw, Rochester, MN 55902-2078 | 2008-09-11 |
| 1629233861 | Jacob Dominik | Psychiatry & Neurology | 755 Jefferson Rd, Ste 110, Rochester, NY 14623-3233 | 2008-07-28 |
| 1598929267 | Frank Wilson Sharbrough IIi | Psychiatry & Neurology | 814 8th Ave Sw, Rochester, MN 55902-6308 | 2008-07-11 |
| 1023138799 | Charles Michel Lavigne | Psychiatry & Neurology | 2180 Clinton Ave S, Rochester, NY 14618 | 2007-03-29 |
| 1861591547 | Michael E Yurcheshen | Psychiatry & Neurology | 2337 S Clinton Ave, Rochester, NY 14618 | 2006-09-21 |
| 1144254913 | Das L Kareti | Psychiatry & Neurology | 963 Oakwood Dr, Rochester, MI 48307-1318 | 2006-07-10 |
| Find all providers in ROCHESTER | ||||
Please comment or provide details below to improve the information on NEXUS.
| 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.