Aumbria Health and Aesthetics LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

13300 Issued in NV

Legal business name

AUMBRIA HEALTH AND AESTHETICS LLC

Practice address

1301 Bertha Howe Ave
Ste# 2
Mesquite, NV 89027-7502

Phone

(702) 345-3312

Fax

(702) 345-3374

NPI assigned

Feb 24, 2015

Last updated

Mar 18, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gladys Ampong Kodjoe, M.D.NPI 1326281882

Title

Practice Owner

Phone

(702) 241-8721

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Beatrice Mary Blay, FNP

  • Family Nurse Practitioner
  • Mesquite, NV
  • NPI 1053830430
  Medicare reassignment NPD
• Rachelle Sullivan, APRN- FNP-BC

  • Family Nurse Practitioner
  • St George, UT
  • NPI 1265063531

  NV

  Medicare reassignment NPD
• Gladys Kodjoe, MD

  • Internal Medicine Physician
  • Mesquite, NV
  • NPI 1326281882
  Authorized official Same address or phone

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1902298243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BERTHA HOWE AVE",
            "address_2": "STE# 2",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890277502",
            "telephone_number": "702-345-3312",
            "fax_number": "702-345-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BERTHA HOWE AVE",
            "address_2": "STE# 2",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890277502",
            "telephone_number": "702-345-3312",
            "fax_number": "702-345-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUMBRIA HEALTH AND AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-24",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "KODJOE",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "AMPONG",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "702-241-8721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "13300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advantage Medical Supply, Inc.
• Alan Jones D.O. P.C. (Desert Valley Ear, Nose, Throat & Allergy)
• Alfaro LTD (Mesa View Medical Group)
• Amble Medical
• App of Nevada Ed PLLC
• Auralcare Hearing Centers of America, LLC (My Hearing Center)
• Axiom, LLC
• Joseph R Baer
• Kathleen Lisa Barrette
• Arlene M Bean

• Internal Medicine Physician in Mesquite, NV
• Providers in Mesquite, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.