AUGUSTA MEDICAL GROUP (NPI# 1154642742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154642742 |
| Entity Type | Organization |
| Organization Name | AUGUSTA MEDICAL GROUP |
| Other Organization Name | AUGUSTA HEALTH PULMONARY AND CRITICAL CARE MED |
| Practice Address |
78 Medical Center Dr Fishersville VA 22939-2332 |
| Mailing Address |
Po Box 388 Fishersville VA 22939-0388 |
| Practice Telephone | 5409324075 |
| Practice Fax Number | 5409325199 |
| Mailing Telephone | 5409324075 |
| Mailing Fax Number | 5409325199 |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2010-06-17 |
| Authorized Official Name | JOHN R HEIDER (CFO) |
| Authorized Official Telephone | 5409324684 |
| Is Organization Subpart | Y |
| Parent Organization Name | AUGUSTA HEALTH CARE, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
H1826 | VA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Augusta Health Pulmonary and Critical Care Med | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275782526 | Augusta Medical Group | Family Medicine | 53 S Medical Park Drive, Fishersville, VA 22939 | 2008-09-11 |
| 1407005754 | Augusta Medical Group | Family Medicine | 1 Green Hill Dr, Verona, VA 24482-2654 | 2008-09-11 |
| 1124277470 | Augusta Medical Group | Family Medicine | 907 Goose Creek Rd, Suite A03, Fishersville, VA 22939-2352 | 2008-09-11 |
| 1588813836 | Augusta Medical Group | Family Medicine | 70 Medical Center Cir, Suite 301, Fishersville, VA 22939-2273 | 2008-09-11 |
| 1417106766 | Augusta Medical Group | Hospitalist | 78 Medical Center Dr, Fishersville, VA 22939-2332 | 2008-09-11 |
| 1932358280 | Augusta Medical Group | Internal Medicine | 70 Medical Center Cir, Suite 108, Fishersville, VA 22939-2273 | 2008-09-11 |
| 1396994646 | Augusta Medical Group | Internal Medicine | 2522 Jefferson Hwy, Suite 110, Waynesboro, VA 22980-8503 | 2008-09-11 |
| 1003065350 | Augusta Medical Group | Otolaryngology | 70 Medical Center Cir, Suite 104, Fishersville, VA 22939-2273 | 2008-09-11 |
| 1811146160 | Augusta Medical Group | Psychiatry & Neurology | 70 Medical Center Cir, Suite 201, Fishersville, VA 22939-2273 | 2008-09-11 |
| 1245489590 | Augusta Medical Group | General Practice | 78 Medical Center Dr, Fishersville, VA 22939-2332 | 2008-09-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Augusta Medical Group | Po Box 1000, Fishersville, Virginia 22939 |
| Street Address |
78 MEDICAL CENTER DR |
| City | FISHERSVILLE |
| State | VA |
| Zip Code | 22939-2332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952300170 | Mary Nash Long | Nurse Practitioner | 78 Medical Center Dr, Fishersville, VA 22939 | 2005-07-19 |
| 1134755770 | Diane M Burns | Nurse Practitioner | 78 Medical Center Dr, Fishersville, VA 22939-2332 | 2020-03-16 |
| 1033742978 | Megan Anne Cather | Dietitian, Registered | 78 Medical Center Dr, Fishersville, VA 22939-2332 | 2020-02-19 |
| 1104469659 | Camille Evon Kaplan | Nurse Practitioner | 78 Medical Center Dr, Fishersville, VA 22939-2332 | 2019-10-28 |
| 1326692716 | Jordan E Larew | Nurse Practitioner | 78 Medical Center Dr, Fishersville, VA 22939-2332 | 2019-07-24 |
| 1275195513 | Margaret Byler Spory | Physician Assistant | 78 Medical Center Dr, Fishersville, VA 22939-2332 | 2019-07-08 |
| 1629634860 | Rachel Binda Tyree | Physician Assistant | 78 Medical Center Dr, Fishersville, VA 22939-2332 | 2019-05-14 |
| 1376109744 | Matthew Frederick Rhodes | Physician Assistant | 78 Medical Center Dr, Fishersville, VA 22939-2332 | 2019-05-11 |
| 1437618949 | Marion Elizabeth Simmons-selking | Nurse Practitioner | 78 Medical Center Dr, Fishersville, VA 22939 | 2019-03-14 |
| 1417421884 | Karen Ann Hayes | Physician Assistant | 78 Medical Center Dr, Fishersville, VA 22939-2332 | 2019-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568956951 | Randy Groves | Physical Therapy Assistant | 84 Crossroads Lane, Fishersville, VA 22939 | 2018-06-19 |
| 1679081749 | Melissa Michelle Yniguez | Occupational Therapy Assistant | 83 Crossroad Lane, Fishersville, VA 22939 | 2018-01-11 |
| 1699126110 | Ashley Bigger | Physical Therapy Assistant | 83 Crossroad Ln, Fishersville, VA 22939 | 2016-06-27 |
| 1497146070 | Savola Aesthetic Dermatology Center Plc | Dermatology | 66 Parkway Lane, Suite 101, Fishersville, VA 22939 | 2015-02-18 |
| 1669813416 | Keith Harlow Wolford | Family Medicine | 1615 Jefferson Highway, Suite 108, Fishersville, VA 22939 | 2013-07-09 |
| 1588903041 | Ashanti Dawn Samuel | Student in an Organized Health Care Education/Training Program | 83 Crossroads Lane, Fishersville, VA 22939 | 2013-02-04 |
| 1588902399 | Janaki Pinakin Patel | Internal Medicine | 70 Medical Center Cir Ste 201, Fishersville, VA 22939 | 2013-01-29 |
| 1659699734 | Augusta Health Care, Inc | Internal Medicine | 221 Medical Center Circle, Fishersville, VA 22939 | 2010-05-13 |
| 1386979037 | Kyle J Becker | Pharmacist | 57 Beam Lane, Suite 300, Fishersville, VA 22939 | 2009-10-14 |
| 1275782526 | Augusta Medical Group | Family Medicine | 53 S Medical Park Drive, Fishersville, VA 22939 | 2008-09-11 |
| Find all providers in zip 22939 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477718922 | Jason M. Lawrence | Internal Medicine | 70 Medical Center Cir Ste 308, Fishersville, VA 22939 | 2008-07-24 |
| 1205905569 | Timothy J Scialla | Internal Medicine | 9 Pinnacle Dr Ste A03, Fishersville, VA 22939-2367 | 2006-11-08 |
| 1316903016 | James Arthur Long | Internal Medicine | 70 Medical Center Cir, Suite 307, Fishersville, VA 22939-2273 | 2006-04-22 |
| 1245294610 | Carmen Laura Gonzalez | Internal Medicine | 78 Medical Center Drive, Heart & Vascular Center, Flr 2, Fishersville, VA 22939 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132235 | Tidewater Lung and Sleep Center, Pllc | Internal Medicine | 4113 River Park Dr, Suffolk, VA 23435-3358 | 2020-10-21 |
| 1053814129 | Winchester Medical Center | Internal Medicine | 190 Campus Blvd Ste 410, Winchester, VA 22601-2872 | 2018-03-14 |
| 1104368943 | John Termini | Internal Medicine | 1154 Daleview Dr, Mc Lean, VA 22102-1540 | 2016-11-10 |
| 1073971610 | Pulmonary Center of Northern Virginia Pllc | Internal Medicine | 24585 Stone Carver Drive Ste 100, Aldie, VA 20105-2798 | 2016-02-09 |
| 1487060950 | Pulmonary Care Consultants of Northern Va | Internal Medicine | 19410 Coppermine Sq, Leesburg, VA 20176-6533 | 2014-07-06 |
| 1386067742 | Rashid Nayyar, M.d. PC | Internal Medicine | 6247 Rolling Spring Ct, Springfield, VA 22152-2242 | 2014-01-21 |
| 1578905865 | Lung Specialist of Williamsburg PC | Internal Medicine | 121 Bulifants Blvd, Suite A, Williamsburg, VA 23188-5736 | 2013-07-27 |
| 1124370093 | Fairfax Pulmonary Consulting LLC | Internal Medicine | 880 N Pollard St, #501, Arlington, VA 22203-1738 | 2012-10-02 |
| 1275824427 | Katherine Miller Price | Internal Medicine | 1 Park West Cir Ste 301, Midlothian, VA 23114-4518 | 2011-04-22 |
| 1245553031 | Piedmont Pulmonary Associates, P.C. | Internal Medicine | 3014 Watercrest Dr, Charlottesville, VA 22911-7223 | 2010-03-08 |
| Find all providers with the same taxonomy | ||||
| City | FISHERSVILLE |
| Zip Code | 22939 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.