Austin Theodore Mahoney, EMTACLS

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

084554 Issued in OH

Practice address

1516 Burlington Ave
Columbus, OH 43227-2441

Phone

(614) 207-8951

NPI assigned

Nov 15, 2021

Last updated

Nov 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1659037596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 BURLINGTON AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432272441",
            "telephone_number": "614-207-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 BURLINGTON AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432272441",
            "telephone_number": "614-207-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "AUSTIN",
        "middle_name": "THEODORE",
        "credential": "EMTACLS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "OH",
            "license": "084554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahogany Restorative Counseling, LLC
• Emily Corrine Maholm, FNP
• Rebecca Yung Mahon
• Erika G. Mahone, LISW-S
• Adam James Mahoney, MD
• Patricia Ann Mahoney
• Sean E Mahoney, APRN-CNP
• Margo Lee Mahony
• Rosalia Mary Mahr, M.D.
• Sunitha Mahrajan, SWT

• Basic Emergency Medical Technician in Columbus, OH
• Providers in Columbus, OH by specialty
• Basic Emergency Medical Technician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.