Augusta Health Care, Inc.
Organization Active NPI Diagnostic Radiology Physician · Fishersville, VA
NPI 1720717044 · NPPES record last updated Dec 20, 2023
Key facts
- NPI
- 1720717044
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- AUGUSTA HEALTH CARE, INC.
- Practice address
- 23 North Campus Drive
Suite 101
Fishersville, VA 22939 - Phone
- (540) 932-5159
- Fax
- (540) 932-4616
- NPI assigned
- Jun 10, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- AUGUSTA HEALTH CARE, INC.
Authorized official
- Name
- William J Meador
- Title
- VP, Cfo
- Phone
- (540) 932-4800
Owned or controlled facilities with NPI records 4
Other NPIs with the same Medicare PAC ID 8
Practitioners 138
-
Gary L Aragon, M.D.
-
Jonathan Ashby Craun, D.O.
-
Tyler A Dailey, M.D.
-
Edward H Estrin, MD
-
Mounika Guduru, MD
-
Sean N Higginson, MD
-
Andrew Kaiser, MD
-
Liisa L Laakso, DO
-
Jon Christopher Myers, D.O.
-
Clinton S. Pease, M.D.
-
V. Colt Peyton, MD
-
Duke R Pham, MD
-
Bert Cody Piggott Jr., M.D.
-
Bradley M Tipler, M.D.
-
Frank M Volberg, MD
-
Gregory M Wade, MD
-
Thomas A Zumsteg, M.D.
-
Joseph M Bender, M.D.
-
Todd Blodgett, MD
-
Patrick Miles Chesley, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Augusta Health Care Inc |
Skilled nursing facility | Adp of the SNF Direct Ownership Interest (100%) |
Jul 16, 1990 Jul 16, 1990 |
| Karolwood Gardens Richmond |
Skilled nursing facility | Adp of the SNF | Jun 1, 2021 |
| Augusta Health Maury River Family Practice |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Mar 18, 2008 |
| Augusta Health Primary Care Lexington |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Mar 18, 2008 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221229000080 | VA | Part B Supplier - Clinic/Group Practice | 1355248212 |
Receives reassigned benefits from 120 practitioners Practice locations: Fishersville, VA |
National Provider Directory
- Part of
- Augusta Medical Center
Locations
23 North Campus Dr
Fishersville, VA 22939
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
23 North Campus Drive
Suite 101
Fishersville, VA 22939
Mailing address
PO Box 1000
Fishersville, VA 22939-1000
Phone (540) 932-5162
Other providers in Fishersville, VA
- Augusta Health Care, Inc
- Augusta Health Care, Inc
- Augusta Health Care, Inc
- Augusta Health Care, Inc.
- Augusta Health Care, Inc.
- Augusta Medical Group
- Augusta Psychological Associates
- Augusta Regional Clinic Pharmacy
- Augusta Regional Dental Clinic
- Augusta Regional Free Clinic, Inc.
All providers in Fishersville, VA · Diagnostic Radiology Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.