Augustine Roland, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036046641 Issued in IL

Practice address

1301 Copperfield Ave
Suite 201
Joliet, IL 60432

Phone

(815) 727-4434

Fax

(815) 727-4498

NPI assigned

Oct 24, 2006

Last updated

Feb 28, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Aunt Martha's Youth Service Center Inc

  • Federally Qualified Health Center (FQHC)
  • Joliet, IL
  • NPI 1174809503
  NPD (past)
• Aunt Marthas Youth Service Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Joliet, IL
  • NPI 1821346115
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1538243134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 COPPERFIELD AVE",
            "address_2": "SUITE 201",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "60432",
            "telephone_number": "815-727-4434",
            "fax_number": "815-727-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 COPPERFIELD AVE",
            "address_2": "SUITE 201",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "60432",
            "telephone_number": "815-727-4434",
            "fax_number": "815-727-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLAND",
        "first_name": "AUGUSTINE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036046641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRA",
            "identifier": "036046641",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey Rogers
• Joshua Rogoz, CADC
• Ruth L. Rohan, L.C.P.C.
• Laarnie Rojas
• Stacey Lynn Rokusek
• Joyce Rollins
• Dawn Carroll Roman, PA-C
• Elzbieta Romanowski, CRNA
• Rooted in Strength LLC
• Julie A Roper, PT

• Pediatrics Physician in Joliet, IL
• Providers in Joliet, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.