AUGUSTA NEUROLOGY PA (NPI# 1053419184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053419184 |
| Entity Type | Organization |
| Organization Name | AUGUSTA NEUROLOGY PA |
| Practice Address |
55 Middle Street Suite 1 Augusta ME 04330 |
| Practice Telephone | 2076265445 |
| Practice Fax Number | 2076265446 |
| Mailing Telephone | 2076265445 |
| Mailing Fax Number | 2076265446 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. JUTTA M EICHELMAN (SOLE SHAREHOLDER PRESIDENT TREASURE) |
| Authorized Official Telephone | 2076265445 |
| Authorized Official Credential | MD PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
013795 | ME | Allopathic & Osteopathic Physicians |
| Street Address |
55 MIDDLE STREET SUITE 1 |
| City | AUGUSTA |
| State | ME |
| Zip Code | 04330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181877 | Renewal Family Center, LLC | Community/Behavioral Health | 10 Learners Drive, Augusta, ME 04330 | 2020-10-12 |
| 1134748759 | Chelsea Simone Koch | Registered Nurse | 1 Va Center, Department of Veterans Affairs, Augusta, ME 04330 | 2020-04-14 |
| 1790238442 | Nicole Lacrosse | Behavioral Analyst | 53 Hayden Rd, Augusta, ME 04330 | 2016-07-29 |
| 1093176844 | Richard J. Larrabee | Counselor | 312 Townhouse Road, Chelsea, ME 04330 | 2016-03-08 |
| 1376910984 | Sarah C. A. Tatlock | Social Worker | 41 Anthony Ave, Augusta, ME 04330 | 2015-08-31 |
| 1457728180 | Va Maine Health | General Acute Care Hospital | 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 | 2015-08-28 |
| 1043696842 | Megan Arsenault | Pharmacist | 403 Water Street, Augusta, ME 04330 | 2015-08-04 |
| 1205219987 | Trevor Holbert | Audiologist | 1 Va Center - Togus Va Medical Center, Audiology 126a, Augusta, ME 04330 | 2015-06-30 |
| 1659787836 | Hannah M. Pullen | Occupational Therapy Assistant | 12 Shuman Ave Ste 16, Augusta, ME 04330 | 2014-07-08 |
| 1831469899 | Tanya Bernadette Quarterman | Specialist | 153 Hospital St Ste 13, Augusta, ME 04330 | 2012-01-09 |
| Find all providers in zip 04330 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407349103 | Ahmed Babiker | Psychiatry & Neurology | 1130 15th St, Augusta, GA 30912-0004 | 2018-06-07 |
| 1841580685 | Elizabeth Kim Rutkowski | Psychiatry & Neurology | 1120 15th St Neurology Dept, Augusta, GA 30912-2204 | 2011-04-13 |
| 1942590872 | Alexis Bashinski Shaefer | Psychiatry & Neurology | 1210 Roy Rd, Augusta, GA 30909-1812 | 2011-04-12 |
| 1083813398 | Martha Easler Nichols | Psychiatry & Neurology | 2411 Mcdowell St, Augusta, GA 30904-4635 | 2007-07-16 |
| 1699813741 | Edward Martin Mendoza | Psychiatry & Neurology | 3556 Pebble Beach Dr, Augusta, GA 30907-9520 | 2007-02-01 |
| 1821027665 | Ranjit K Sethi Md PC | Psychiatry & Neurology | 820 St Sebastian Way, Suite 5c, Augusta, GA 30901 | 2006-07-02 |
| 1649222712 | Benjamin Bashinski, IIi | Psychiatry & Neurology | 1210 Roy Road, Augusta, GA 30909 | 2006-05-17 |
| 1609850650 | Veena U Jerath | Psychiatry & Neurology | 1228 Augusta West Pkwy, Augusta, GA 30909-1854 | 2005-12-02 |
| 1861482390 | Matthew Christopher Smith | Psychiatry & Neurology | 3623 J Dewey Gray Cir Ste 210, Augusta, GA 30909-6554 | 2005-10-26 |
| 1881692010 | William E Philippi | Psychiatry & Neurology | 820 Saint Sebastian Way Ste 4-a, Augusta, GA 30901-2643 | 2005-07-12 |
| Find all providers in AUGUSTA | ||||
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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.