Active NPI
Augustus B Bales, CRNA
- Certified Registered Nurse Anesthetist
- Kettering, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN-206073
- Practice address
- 3535 Southern Blvd
Kettering, OH 45429-1221 - Phone
- (937) 293-8228
- Fax
- (937) 293-8229
- NPI assigned
- Feb 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN-206073 | OH | Primary |
Addresses
Primary practice location
3535 Southern Blvd
Kettering, OH 45429-1221
Mailing address
3533 Southern Blvd
Suite 3100
Kettering, OH 45429-1264
Phone (937) 293-8228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000873 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-206073 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Gastroenterology Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medical Center Anesthesiology of Athens | Current | Accepting new patients | |
| Coastal Ambulatory Anesthesia LLC | Current | Accepting new patients | |
| Kettering Anesthesia Associates, Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesiology Services Network LTD | Past | Accepting new patients |
Locations
7956 Vaughn Rd
Ste 165
Montgomery, AL 36116
1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520
340 N Milledge Ave
Ste A
Athens, GA 30601
Phone (706) 548-0008
550 Peachtree St NE
Ste 1600
Atlanta, GA 30308
Phone (404) 881-1094
1515 River Pl
Ste 320
Braselton, GA 30517
Phone (678) 997-2125
2675 N Decatur Rd
Ste 506
Decatur, GA 30033
Phone (404) 299-1679
8855 Hospital Dr
Ste 102
Douglasville, GA 30134
Phone (678) 784-5020
1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499
2324 Limestone Overlook
Ste 200
Gainesville, GA 30501
Phone (312) 724-7441
226 E College St
#A
Griffin, GA 30224
Phone (678) 987-1490
488 Kennesaw Ave NW
Ste 100
Marietta, GA 30060
Phone (770) 427-3075
34 Upper Riverdale Rd SE
Ste 201
Riverdale, GA 30274
Phone (678) 904-0094
5671 Ptree Dunwoody Rd NE
Ste 680
Sandy Springs, GA 30342
Phone (404) 705-6985
1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200
150 N Park Trl
#A
Stockbridge, GA 30281
Phone (770) 507-0909
4275 Johns Creek Pkwy
Ste A
Suwanee, GA 30024
Phone (678) 475-1606
1360 Caduceus Way
Bldg 300
Watkinsville, GA 30677
Phone (706) 850-4985
900 Towne Lake Pkwy
Ste 310
Woodstock, GA 30189
Phone (770) 926-0071
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
GA, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Savannah, GA
- NPI 1750753786
-
- Certified Registered Nurse Anesthetist
- Gainesville, GA
- NPI 1942563242
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Athens, GA
- NPI 1003863291
-
- Certified Registered Nurse Anesthetist
- Gainesville, GA
- NPI 1326569187
-
- Anesthesiology Physician
- Dayton, OH
- NPI 1821076779
-
- Anesthesiology Physician
- Kettering, OH
- NPI 1689627739
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912973728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3533 SOUTHERN BLVD",
"address_2": "SUITE 3100",
"city": "KETTERING",
"state": "OH",
"postal_code": "454291264",
"telephone_number": "937-293-8228",
"fax_number": "937-293-8229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 SOUTHERN BLVD",
"city": "KETTERING",
"state": "OH",
"postal_code": "454291221",
"telephone_number": "937-293-8228",
"fax_number": "937-293-8229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALES",
"first_name": "AUGUSTUS",
"middle_name": "B",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "RN-206073",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2000873",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.