Provider Demographics
NPI:1154525137
Name:BEGUE, AARON M (MS, RN, NP-C, OCN)
Entity type:Individual
Prefix:MR
First Name:AARON
Middle Name:M
Last Name:BEGUE
Suffix:
Gender:M
Credentials:MS, RN, NP-C, OCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E 66TH ST RM 931
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-6800
Mailing Address - Country:US
Mailing Address - Phone:646-888-5373
Mailing Address - Fax:
Practice Address - Street 1:300 W 10TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1280
Practice Address - Country:US
Practice Address - Phone:614-366-8030
Practice Address - Fax:614-293-6037
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.295875-COA1363LF0000X
OHCOA.08521-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0084649Medicaid
OHH208950Medicare PIN