Aiden Matthew O'Rourke, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD2013-0822 Issued in NM

Practice address

1399 Weimer Rd
# 600
Taos, NM 87571-6340

Phone

(575) 751-0334

Fax

(575) 751-0297

NPI assigned

Apr 5, 2006

Last updated

Sep 13, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: amorourk@yourcarecommunity.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aiden Orourke MD PA

  • Surgery Physician
  • Fort Lauderdale, FL
  • NPI 1821349747
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505260800000",
    "number": "1164484002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 WEIMER RD",
            "address_2": "# 600",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716340",
            "telephone_number": "575-751-0334",
            "fax_number": "575-751-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 WEIMER RD",
            "address_2": "# 600",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716340",
            "telephone_number": "575-751-0334",
            "fax_number": "575-751-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'ROURKE",
        "first_name": "AIDEN",
        "middle_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2017-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "MD2013-0822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "67251382",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northern NM Center for Cosmetic Dentistry Inc
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• Justin Jack Nylund, D.D.S.
• Gina Kay O'Hara, PHARMD, PHC, RPH
• Casey Odell, LPCC
• Amber Ohlinger, COMS
• Emma Okamoto, LCSW
• Diana Olin
• Jacky Olivas

• Surgery Physician in Taos, NM
• Providers in Taos, NM by specialty
• Surgery Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.