Basic Information
Provider Information
NPI: 1932550084
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: POMAJZL
FirstName: AARON
MiddleName: JAMES
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: POMAJZL
OtherFirstName: AJ
OtherMiddleName:  
OtherNamePrefix: DR.
OtherNameSuffix:  
OtherCredential: M.D.
OtherLastNameType: 2
Mailing Information
Address1: 5500 PINE LAKE RD
Address2:  
City: LINCOLN
State: NE
PostalCode: 685163389
CountryCode: US
TelephoneNumber: 4024898888
FaxNumber: 4024211945
Practice Location
Address1: 601 N 30TH ST
Address2: CU DEPARTMENT OF SURGERY
City: OMAHA
State: NE
PostalCode: 681312128
CountryCode: US
TelephoneNumber: 4022804669
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/29/2016
LastUpdateDate: 05/25/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/25/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000X7787NEN Allopathic & Osteopathic PhysiciansSurgery 
208800000X7787NEY Allopathic & Osteopathic PhysiciansUrology 

No ID Information.


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