Deborah L Auld, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085-001019 Issued in IL

Practice address

1245 S Mill St
Pob 231
Nashville, IL 62263-2004

Phone

(618) 327-8119

Fax

(618) 327-8141

NPI assigned

Sep 15, 2005

Last updated

Mar 20, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dauld400720@direct-ehr-ssmhc.com

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.

• Washington County Hospital District

  dba Washington County Hospital

  • Critical Access Hospital
  • Nashville, IL
  • NPI 1659321560
  Medicare reassignment NPD
• Crossroads Physicians Corp

  • Family Medicine Physician
  • Mount Vernon, IL
  • NPI 1508850520

  Physician Assistant

  NPD (past)
• PC Associates, LLC

  • Family Medicine Physician
  • Dupo, IL
  • NPI 1437462637
  NPD (past)
• SSM Health Care St. Louis

  dba SSM Health St. Mary's Hospital Physician Billing

  • Emergency Medicine Physician
  • Saint Louis, MO
  • NPI 1366400855
  NPD (past)

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1225023294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 S MILL ST",
            "address_2": "PO BOX 231",
            "city": "NASHVILLE",
            "state": "IL",
            "postal_code": "622632004",
            "telephone_number": "618-327-8119",
            "fax_number": "618-327-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 S MILL ST",
            "address_2": "POB 231",
            "city": "NASHVILLE",
            "state": "IL",
            "postal_code": "622632004",
            "telephone_number": "618-327-8119",
            "fax_number": "618-327-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AULD",
        "first_name": "DEBORAH",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-15",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-001019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Access Healthcare and Wellness LTD
• Advanced Vision Care LLC
• Allied Physicians, S.C.
• Avc Optometry Inc (Advanced Vision Care)
• Axiom Gardens of Nashville LLC (Axiom Gardens of Nashville)
• Axiom Gardens of Nashville LLC (Axiom Gardens of Nashville)
• Axiom Healthcare of Nashville LLC (Axiom Healthcare of Nashville)
• Axiom Healthcare of Nashville LLC (Axiom Healthcare of Nashville)

• Physician Assistant in Nashville, IL
• Providers in Nashville, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.