DR. JULIO RAFFAEL MEDINA (NPI# 1932769411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932769411 |
| Entity Type | Individual |
| Full Name | DR. JULIO RAFFAEL MEDINA |
| Credential | MD |
| Practice Address |
1459 Laney Walker Blvd Augusta GA 30912-0002 |
| Mailing Address |
1304 Huntington Dr Augusta GA 30909-6458 |
| Practice Telephone | 7067212273 |
| Mailing Telephone | 3057909385 |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 11177 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1120 15th St, Augusta, GA 309120004 | 7067212273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043758840 | Julio Medina | Behavior Technician | 824 Sw 66 Th Ave, Miami, FL 33144 | 2017-02-01 |
| 1902097819 | Julio C. Medina Sr. | Emergency Medicine | I30 Calle 3, Tintillo Gardens, Guaynabo, PR 00966-1635 | 2007-08-06 |
| Street Address |
1459 LANEY WALKER BLVD |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30912-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639158900 | Walter Jack Morris | Dentist | 1459 Laney Walker Blvd, Ad1501, Augusta, GA 30912-0002 | 2006-01-13 |
| 1932725694 | Liniya Tauhidul | Family Medicine | 1459 Laney Walker Blvd, Augusta, GA 30912-0002 | 2020-06-18 |
| 1740805852 | Nafiz Kalam Sheikh | Psychiatry & Neurology | 1459 Laney Walker Blvd, Augusta, GA 30912-0001 | 2020-06-15 |
| 1265057426 | Mallika Patel | Internal Medicine | 1459 Laney Walker Blvd, Augusta, GA 30912-0002 | 2020-06-13 |
| 1578188728 | Dhruti Prashant Diwan | Anesthesiology | 1459 Laney Walker Blvd, Augusta, GA 30912-3529 | 2020-06-13 |
| 1043835317 | Jesse William Wayson | Obstetrics & Gynecology | 1459 Laney Walker Blvd, Augusta, GA 30912-0002 | 2020-06-12 |
| 1861017139 | Mac Bohanan | Psychiatry & Neurology | 1459 Laney Walker Blvd, Augusta, GA 30912-0002 | 2020-06-12 |
| 1609491950 | Taylor Payne | Internal Medicine | 1459 Laney Walker Blvd, Augusta, GA 30912-0002 | 2020-06-12 |
| 1184249443 | Yasasvi Tadavarthi | Internal Medicine | 1459 Laney Walker Blvd, Ae 3042, Augusta, GA 30912-0004 | 2020-06-12 |
| 1376168807 | Erica Demaagd | Pediatrics | 1459 Laney Walker Blvd, Ae 3042, Augusta, GA 30912 | 2020-06-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
| 1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
| 1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
| 1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
| 1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
| 1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
| 1487157921 | Julie Ann Matsen | Student in an Organized Health Care Education/Training Program | 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 | 2018-03-12 |
| 1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
| 1821537622 | Lashawn Kay Boone | Nurse Practitioner | 1445 Harper St, Augusta, GA 30912 | 2017-02-14 |
| 1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
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| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497370035 | Maria Gabriela Sanchez Gonzalez | Anesthesiology | 1120 15th St # Bi-2144, Augusta, GA 30912-0004 | 2020-06-09 |
| 1437644226 | Prathik Mudaliar Mudaliar | Anesthesiology | 11250 15th Street, Augusta, GA 30912-0001 | 2018-06-25 |
| 1982061677 | Robert Scott Medearis | Anesthesiology | 1120 15th Street, Biw 2144, Augusta, GA 30912 | 2016-01-26 |
| 1043620248 | Katie Barnett | Anesthesiology | 1120 15th Street Biw-2144, Attn: Karen Mcdaniel, Augusta, GA 30912-2700 | 2014-04-28 |
| 1285072850 | Amjad Najim | Anesthesiology | 1120 15th St # Bi2144, Augusta, GA 30912-3450 | 2013-06-05 |
| 1992091029 | Nihal Eisa | Anesthesiology | 1824 Walton Way, Augusta, GA 30904-3804 | 2011-06-27 |
| 1407156953 | Shalin C Shah | Anesthesiology | 1367 Interstate Pkwy, Augusta, GA 30909-5626 | 2010-11-01 |
| 1407173891 | Dream Work Anesthesia, LLC | Anesthesiology | 811 13th St Ste 17, Augusta, GA 30901-2771 | 2010-04-26 |
| 1841522240 | Jennifer Regan Burdette | Anesthesiology | 3055 Hillsdale Dr, Augusta, GA 30909-3427 | 2010-02-10 |
| 1942469861 | James Roger Bullard | Anesthesiology | 707 Somerset Way, Augusta, GA 30909-3146 | 2008-06-05 |
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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.