Wayne Gerard Augustyniak, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601001009 Issued in MI

Practice address

2889 South 11TH Street
Kalamazoo, MI 49009-2123

Phone

(269) 343-1247

Fax

(269) 343-6661

NPI assigned

Aug 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1912999012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2889 S 11TH ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092123",
            "telephone_number": "269-343-1247",
            "fax_number": "269-343-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2889 SOUTH 11TH STREET",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092123",
            "telephone_number": "269-343-1247",
            "fax_number": "269-343-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGUSTYNIAK",
        "first_name": "WAYNE",
        "middle_name": "GERARD",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601001009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE NUMBER",
            "identifier": "5601001009",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Auer
• August Optical LLC
• Chris A Augustine, MA LPC SCL
• Kathy Jo Augustine, LLMSW
• Erin Augustyniak, AUD
• Madison Auito
• Aurora Ault
• Ashley Aultman, MD
• Grace Aure, BSW
• Auro Physical Therapy, PLC

• Medical Physician Assistant in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.