Augustine Health Group, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

1376 Issued in SC

Legal business name

AUGUSTINE HEALTH GROUP, LLC

Doing business as

Providence Internal Medicine Downtown

Practice address

2601 Laurel St
Suite 230
Columbia, SC 29204-2033

Phone

(803) 865-4780

Fax

(803) 865-4932

NPI assigned

Jun 7, 2011

Last updated

Jun 7, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

SISTERS OF CHARITY PROVIDENCE HOSPITALAs reported in NPPES

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

Authorized official

Name

Mrs. Angela Haithcock

Title

Credetialing Coordinator

Phone

(803) 865-4780

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Providence Internal Medicine Downtown Doing business as

Part of

Providence Hospital

Locations

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1871887919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 GATEWAY CORPORATE BLVD",
            "address_2": "SUITE 425",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292039740",
            "telephone_number": "803-865-4780",
            "fax_number": "803-865-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 LAUREL ST",
            "address_2": "SUITE 230",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042033",
            "telephone_number": "803-865-4780",
            "fax_number": "803-865-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTINE HEALTH GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SISTERS OF CHARITY PROVIDENCE HOSPITAL",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "HAITHCOCK",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CREDETIALING COORDINATOR",
        "authorized_official_telephone_number": "803-865-4780",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "1376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP NUMBER",
            "identifier": "DA2264",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Internal Medicine Downtown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Augustine Health Group, LLC (Providence Psychiatric Consults)
• Augustine Health Group, LLC (Providence EKG Physicians)
• Augustine Health Group, LLC (Providence Northeast Family Care at Lake Carolina)
• Augustine Health Group, LLC (Jack H. Gottlieb, M.D.)
• Augustine Health Group, LLC (Providence Women's Health)
• Augustine Health Hospitalists, LLC (Sisters of Charity Providence Hospitals)
• Ahmad Salman Aulakh, DO
• Allison Auld
• Aye Phyu Aung, M.D.,
• Barbara J.W. Austin, M.S.W., LISW-CP

• Internal Medicine Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.