Augustine Health Group LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

AUGUSTINE HEALTH GROUP LLC

Doing business as

Providence Anesthesia Group

Practice address

2435 Forest Dr
Columbia, SC 29204-2026

Phone

(803) 865-4780

Fax

(803) 865-4932

NPI assigned

Mar 29, 2014

Last updated

Mar 29, 2014By 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

Kelly Mowrer

Title

Credentialing Specialist

Phone

(216) 472-2741

Specialties & licenses 1

Addresses

Other names 1

• Providence Anesthesia Group Doing business as

Locations

Practitioners 2

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.

• Robert M Amory, D.O.

  • Cardiovascular Disease Physician
  • Strongsville, OH
  • NPI 1013910116
  NPD (past)
• Neel R Patel, M.D.

  • Cardiovascular Disease Physician
  • Maitland, FL
  • NPI 1114962941
  NPD (past)

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

{
    "created_epoch": "1396051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396051200000",
    "number": "1154749075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7580 NORTHCLIFF AVE",
            "address_2": "SUITE 500",
            "city": "BROOKLYN",
            "state": "OH",
            "postal_code": "441443270",
            "telephone_number": "855-477-2477",
            "fax_number": "216-472-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 FOREST DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042026",
            "telephone_number": "803-865-4780",
            "fax_number": "803-865-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTINE HEALTH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-29",
        "last_updated": "2014-03-29",
        "status": "A",
        "authorized_official_last_name": "MOWRER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "216-472-2741"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Anesthesia Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason Matthew Auch-Iler, APRN
• Audiology Services Company USA, LLC
• Alyssa Auer, RN
• Augustine Health Group (Providence Family Medicine Clemson Road)
• Augustine Health Group (Providence Surgical Associates)
• Augustine Health Group LLC (Providence Physical Medicine and Rehabilitation)
• Augustine Health Group LLC (Providence Womens Health)
• Augustine Health Group, LLC (Associates in Internal Medicine)
• Augustine Health Group, LLC (Providence Internal Medicine Northeast)
• Augustine Health Group, LLC (Providence Northeast Family Care)

• Anesthesiology Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Anesthesiology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2014; 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.