Augustinus J Lobach, MD – Family Medicine Physician

Key facts

NPI: 1790717916
Entity type: Individual (NPI type 1)
Primary specialty: Family Medicine Physician 207Q00000X
License: 28383 (KY)
Practice address: 2420 Argillite Road Suite B
Flatwoods, KY 41139
Phone: (606) 836-3900
Fax: (606) 836-0205
NPI assigned: Jul 7, 2006
Sex: Male
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Our Lady of Bellefonte Hospital, Inc. Nurse Practitioner · Ashland, KY · NPI 1457545543

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

Practice roles

Organization	Specialty	Status	New patients
Our Lady of Bellefonte Hospital, Inc.		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician	207Q00000X	28383	KY	Yes

Addresses

Primary practice location

2420 Argillite Road Suite B
Flatwoods, KY 41139

Mailing address

2420 Argillite Rd
Flatwoods, KY 41139-1972
Phone (606) 836-3900

Other identifiers

Identifier	Type	State	Issuer
000000200678	Other	KY	ANTHEM BCBS
2304705	Medicaid	OH
000000598141	Other	KY	ANTHEM BCBS
64063993	Medicaid	KY

Other providers in Flatwoods, KY

All providers in Flatwoods, KY · Family Medicine Physician in Kentucky

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2009. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.