Individual provider Active NPI

Wayne Harry Kaesemeyer, MD

  • Cardiovascular Disease Physician
  • Augusta, GA
National Provider Identifier
1144241365
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
22800 Issued in GA
Practice address
1021 15TH St
Suite 2, Biotech Park
Augusta, GA 30901-3158
Phone
(706) 722-4688
Fax
(706) 722-8194
NPI assigned
Jul 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 22800 GA Primary

Addresses

Primary practice location

1021 15TH St
Suite 2, Biotech Park
Augusta, GA 30901-3158

Mailing address

1021 15TH St
Suite 2, Biotech Park
Augusta, GA 30901-3158
Phone (706) 722-4688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22800GAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Hypertention, P.C. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144241365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 15TH ST",
            "address_2": "SUITE 2, BIOTECH PARK",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309013158",
            "telephone_number": "706-722-4688",
            "fax_number": "706-722-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 15TH ST",
            "address_2": "SUITE 2, BIOTECH PARK",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309013158",
            "telephone_number": "706-722-4688",
            "fax_number": "706-722-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAESEMEYER",
        "first_name": "WAYNE",
        "middle_name": "HARRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "22800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.