AUMBRIA HEALTH AND AESTHETICS LLC (NPI# 1902298243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902298243 |
| Entity Type | Organization |
| Organization Name | AUMBRIA HEALTH AND AESTHETICS LLC |
| Practice Address |
1301 Bertha Howe Ave Ste# 2 Mesquite NV 89027-7502 |
| Practice Telephone | 7023453312 |
| Practice Fax Number | 7023453374 |
| Mailing Telephone | 7023453312 |
| Mailing Fax Number | 7023453374 |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2016-03-18 |
| Authorized Official Name | DR. GLADYS AMPONG KODJOE (PRACTICE OWNER) |
| Authorized Official Telephone | 7022418721 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 13300 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | NV SECRETARY OF STATE | NV20151021732 | 01 |
| Street Address |
1301 BERTHA HOWE AVE STE# 2 |
| City | MESQUITE |
| State | NV |
| Zip Code | 89027-7502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356342364 | Michael Justin Gorman | Family Medicine | 1301 Bertha Howe Ave, Suite 1, Mesquite, NV 89027-7502 | 2005-08-02 |
| 1851767115 | John Vincent Rider | Occupational Therapist | 1301 Bertha Howe Ave, Suite 7, Mesquite, NV 89027-7502 | 2015-08-20 |
| 1750782736 | Brenda Sue Siolo | Nurse Practitioner | 1301 Bertha Howe Ave, Ste.1, Mesquite, NV 89027-7502 | 2014-09-10 |
| 1083900716 | Curtis Doug Jensen | Physical Therapist | 1301 Bertha Howe Ave, Suite 7, Mesquite, NV 89027-7502 | 2011-06-21 |
| 1801117239 | Matthew Tameichi Holt | Physical Therapist | 1301 Bertha Howe Ave, Suite 7, Mesquite, NV 89027 | 2010-06-21 |
| 1659695203 | Tracy Lynn Rodgers | Registered Nurse | 1301 Bertha Howe Ave, Ste 2, Mesquite, NV 89027-7502 | 2010-03-24 |
| 1669796314 | Erica Ann Garrett | Registered Nurse | 1301 Bertha Howe Ave, Ste 2, Mesquite, NV 89027-7502 | 2010-03-24 |
| 1124355243 | Advanced Wound Care Consultants LLC | Registered Nurse | 1301 Bertha Howe Ave, Suite 9, Mesquite, NV 89027-7502 | 2009-11-10 |
| 1467787192 | Alfaro Ltd | Specialist | 1301 Bertha Howe Ave, Suite 8, Mesquite, NV 89027-7502 | 2009-10-14 |
| 1881858280 | Jeromy Ron Mendenhall | Physician Assistant | 1301 Bertha Howe Ave, Suite 1, Mesquite, NV 89027-7502 | 2008-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194388439 | Michael Shay Nielson | Occupational Therapist | 1140 W. Pioneer Blvd, Mesquite, NV 89027 | 2019-04-22 |
| 1104330059 | Pinnacle Absolute Care | Pharmacy | 114 N. Sandhill Blvd, Suite B, Mesquite, NV 89027 | 2017-11-29 |
| 1811346901 | Rodney Briggs | Physician Assistant | 1925 Whipple Ave. Ste. 30, Logandale, NV 89027 | 2016-06-08 |
| 1881085843 | Sylvan M. Johnson | Physical Therapist | 340 Falcon Ridge Pkwy # 500, Mesquite, NV 89027 | 2015-02-12 |
| 1326281882 | Gladys Kodjoe | Internal Medicine | 350 Falcon Ridge Pkwy Ste 102, Mesquite, NV 89027 | 2009-04-14 |
| 1316010432 | Mesquite Medical Equipment | Durable Medical Equipment & Medical Supplies | 330 Falcon Ridge Pkwy Ste 400b, Mesquite, NV 89027 | 2006-11-16 |
| 1316982028 | Kyle Devon Andrus | Optometrist | 330 N. Sandhill Blvd, Suite A, Mesquite, NV 89027 | 2006-06-17 |
| 1366409633 | Stephen R Hamilton | Registered Nurse | 1299 Bertha Howe Avenue, Mesquite, NV 89027 | 2006-04-28 |
| 1386642460 | Desert Health Care Facilities, Inc. | Skilled Nursing Facility | 272 Pioneer Blvd, Mesquite, NV 89027 | 2005-07-12 |
| 1205838265 | Marchant Physical Therapy & Wellness, Inc. | Specialist | 340 Falcon Ridge Parkway, Building 500, Mesquite, NV 89027 | 2005-06-02 |
| Find all providers in zip 89027 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891254918 | Carefirst Night Clinic | Internal Medicine | 1320 N Galloway Ave Ste 104, Mesquite, TX 75149-2461 | 2019-03-18 |
| 1851658900 | Adam Reynolds | Internal Medicine | 1675 Republic Pkwy Ste 104, Mesquite, TX 75150-6902 | 2012-04-13 |
| 1144516212 | Mesquite Regional Internal Medicine | Internal Medicine | 929 N Galloway Ave Ste 104, Mesquite, TX 75149-2400 | 2011-06-27 |
| 1902191455 | Farbod Masrour | Internal Medicine | 2540 N Galloway Ave Ste 205, Mesquite, TX 75150-4813 | 2011-06-13 |
| 1326281882 | Gladys Kodjoe | Internal Medicine | 350 Falcon Ridge Pkwy Ste 102, Mesquite, NV 89027 | 2009-04-14 |
| 1427239409 | Jose T Vallejos | Internal Medicine | 502 W Kearney St Ste 700, Mesquite, TX 75149-3455 | 2007-11-19 |
| 1215120712 | Texas Family Practice Associates Pa | Internal Medicine | 2540 N. Galloway Ave, Suite 102, Mesquite, TX 75150 | 2007-08-20 |
| 1780875260 | Tinh Dinh Le | Internal Medicine | 1324 N Galloway Ave Ste 106, Mesquite, TX 75149-2440 | 2007-08-08 |
| 1407050073 | Sreedevi Nonesupplied Guttikonda | Internal Medicine | 1621 N Belt Line Rd Ste A, Mesquite, TX 75149-1795 | 2007-06-14 |
| 1750488110 | Ashfaq A Rasheed | Internal Medicine | 2698 North Galloway Ave. #101, Mesquite, TX 75150 | 2006-09-20 |
| Find all providers in MESQUITE | ||||
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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.