Aaron I Salomon, PAC
Individual provider Active NPI Physician Assistant · Gothenburg, NE
NPI 1689736019 · NPPES record last updated Feb 9, 2012
Key facts
- NPI
- 1689736019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 876 (NE)
- Practice address
- 918 20TH Street
Gothenburg, NE 69138-1237 - Phone
- (308) 537-7131
- Fax
- (308) 537-7310
- NPI assigned
- Dec 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gothenburg Memorial Hospital
Practice addresses (Care Compare)
910 20TH St
Gothenburg, NE 69138-1237
Phone (308) 537-3661
Hospital & facility affiliations
- Central Plains Home Health
- Gothenburg Health
- The Nebraska Medical Center
- Great Plains Health
- Cozad Community Hospital
- Hilltop Estates
- Gothenburg Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060130000628 | NE | Practitioner - Physician Assistant | 0749294783 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 876 | NE | MD | Optometrist |
| 876NE | NE | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gothenburg Memorial Hospital | Current |
Accepting new patients | |
| Craig D Bartruff M.D., P.C. | Past | Accepting new patients | |
| K C Health Care Enterprises Inc | Past | Accepting new patients | |
| Gothenburg Memorial Hospital | Past | Accepting new patients | |
| Horizons West Medical Group a Professional Corportion | Past | Accepting new patients |
Locations
918 20th St
Gothenburg, NE 69138
Phone (308) 537-4066
910 20th St
Gothenburg, NE 69138
Phone (308) 537-3661
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 876NE | NE | |
| Physician Assistant | 363A00000X | 876 | NE | Yes |
Addresses
Primary practice location
918 20TH Street
Gothenburg, NE 69138-1237
Mailing address
918 20TH Street
Gothenburg, NE 69138-1237
Phone (308) 537-7131
Other providers in Gothenburg, NE
- Peterson'S Supermarket, Inc
- Erika Richards
- Roxie Elizabeth Roberts
- Remmy Rocha
- Tatum J Rush
- Cynthia Lu Sanders
- Chase Charles Schwarz
- Caylyn Dena Sedlacek
- Jacquelyn Mae Sedlacek
- Carol L Shackleton
All providers in Gothenburg, NE · Physician Assistant in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.