Augustine Health Group, LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

21388 Issued in SC

Legal business name

AUGUSTINE HEALTH GROUP, LLC

Practice address

114 Gateway Corporate Blvd
Suite 350
Columbia, SC 29203-9740

Phone

(803) 788-0268

Fax

(803) 788-7384

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Angela S Haithcock

Title

Project Manager

Phone

(803) 865-4780

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Providence Women's Health Doing business as

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1811017296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601964",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601964",
            "telephone_number": "855-477-2477",
            "fax_number": "216-472-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 GATEWAY CORPORATE BLVD",
            "address_2": "SUITE 350",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292039740",
            "telephone_number": "803-788-0268",
            "fax_number": "803-788-7384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTINE HEALTH GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "HAITHCOCK",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PROJECT MANAGER",
        "authorized_official_telephone_number": "803-865-4780"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "21388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4125",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Women's Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Augustine Health Group, LLC
• Augustine Health Group, LLC
• Augustine Health Group, LLC
• Augustine Health Group, LLC
• Augustine Health Group, LLC
• Augustine Health Group, LLC
• Augustine Health Hospitalists, LLC
• Ahmad Salman Aulakh, DO
• Allison Auld
• Aye Phyu Aung, M.D.,

• All providers in Columbia, SC
• Obstetrics & Gynecology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.