Edward L Auen PHD M D Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A50019 Issued in CA

Legal business name

EDWARD L AUEN PHD M D INC

Practice address

1401 Spanos CT
Suite 122
Modesto, CA 95355-2810

Phone

(209) 529-2052

Fax

(209) 529-0323

NPI assigned

Oct 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Edward Leonard Auen, PH.D., M.D.NPI 1962464602

Title

Physician

Phone

(209) 529-2052

Specialties & licenses 1

Addresses

Other names 1

• PRO HEALTH MEDICAL GROUP Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward Leonard Auen, PH.D., M.D.

  • Internal Medicine Physician
  • Modesto, CA
  • NPI 1962464602
  Medicare reassignment Authorized official
• Frank Lyman Russell, M.A., M.F.T.

  • Marriage & Family Therapist
  • Sacramento, CA
  • NPI 1063552875
  NPD (past)

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1760670988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 SPANOS CT",
            "address_2": "SUITE 122",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552810",
            "telephone_number": "209-529-2052",
            "fax_number": "209-529-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SPANOS CT",
            "address_2": "SUITE 122",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552810",
            "telephone_number": "209-529-2052",
            "fax_number": "209-529-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD L AUEN PHD M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "AUEN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "209-529-2052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A50019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRO HEALTH MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cyndi C. Eden, MD
• Annette Edgell
• Andrea Nichole Edgerton, AU.D.
• Melisa Edgmon
• James Michael Edmondson
• Edward S. Gerodias, DMD. Inc.
• Edward W. Verde, MD, Inc.
• Ashley Edwards
• Cole Edwards
• Crystal Brooke Edwards

• Specialist in Modesto, CA
• Providers in Modesto, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.