Provider Demographics
NPI:1326014028
Name:AARONSON, MICHAEL L (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:L
Last Name:AARONSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7401 O ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2444
Mailing Address - Country:US
Mailing Address - Phone:402-484-5600
Mailing Address - Fax:402-484-5630
Practice Address - Street 1:7401 O ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2444
Practice Address - Country:US
Practice Address - Phone:402-484-5600
Practice Address - Fax:402-484-5630
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD5126207RN0300X
IA36425207RN0300X
NE23472207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA414530052OtherMEDICARE PTAN
NE098684051OtherMEDICARE PTAN
NE098684051OtherMEDICARE PTAN
NE46022474344Medicaid
IA0565838Medicaid
SD57105P006OtherWPS TRICARE
SD370624200OtherDEPT OF LABOR
SD238889OtherMIDLANDS CHOICE
SD406751027158OtherPREFERRED ONE
SDH36060Medicare UPIN
SD6630870Medicaid
MN060096200Medicaid
SDHP32695OtherHEALTHPARTNERS
SDP00002845OtherRR MEDICARE
SD27204OtherSANFORD HEALTH PLAN
SD5126OtherDAKOTACARE
SD4996336OtherBLUE CROSS
SD1270923OtherARAZ/ AMERICA'S PPO
MN489S1AAOtherBLUE CROSS
MN489S1AAOtherCC SYSTEMS/ BLUE CROSS