MR. AUSTIN LAINE DAGES (NPI# 1770131708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770131708 |
| Entity Type | Individual |
| Full Name | MR. AUSTIN LAINE DAGES |
| Credential | PA |
| Practice Address |
201 Governors Dr Sw Fl 1 Huntsville AL 35801-5171 |
| Practice Telephone | 2565331600 |
| Practice Fax Number | 2565390856 |
| Mailing Telephone | 2565331600 |
| Mailing Fax Number | 2565390856 |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2019-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
AL | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
AL | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | AL | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1209 Pointe Pl, Old Hickory, TN 371381978 | 6156048456 |
| Street Address |
201 GOVERNORS DR SW FL 1 |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35801-5171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275537128 | Michael Beuoy | Physical Therapist | 201 Governors Dr Sw Fl 1, Huntsville, AL 35801-5171 | 2005-06-09 |
| 1821624370 | Mary R King | Physician Assistant | 201 Governors Dr Sw Fl 1, Huntsville, AL 35801-5171 | 2020-03-17 |
| 1215412788 | Tatianna Mondaini Powell | Registered Nurse | 201 Governors Dr Sw Fl 1, Huntsville, AL 35801-5171 | 2018-10-01 |
| 1346606712 | Raeshel Clifford | Nurse Practitioner | 201 Governors Dr Sw Fl 1, Huntsville, AL 35801-5171 | 2016-01-14 |
| 1568716454 | David William Sheridan | Registered Nurse | 201 Governors Dr Sw Fl 1, Huntsville, AL 35801-5171 | 2012-10-31 |
| 1962715516 | Kellie Anne Corder | Physician Assistant | 201 Governors Dr Sw Fl 1, Huntsville, AL 35801-5171 | 2010-07-23 |
| 1679807903 | Jennifer Kelley Beard | Physical Therapist | 201 Governors Dr Sw Fl 1, Huntsville, AL 35801-5171 | 2009-09-18 |
| 1619175098 | Hayley Brooke Campbell | Physical Medicine & Rehabilitation | 201 Governors Dr Sw Fl 1, Huntsville, AL 35801-5171 | 2007-07-06 |
| 1184832990 | Holly Ann Zywicke | Neurological Surgery | 201 Governors Dr Sw Fl 1, Huntsville, AL 35801-5171 | 2007-05-18 |
| 1306802863 | John Marshall Denney | Physician Assistant | 201 Governors Dr Sw Fl 1, Huntsville, AL 35801-5171 | 2006-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
| 1225657661 | Ashley Danielle Ford | Student in an Organized Health Care Education/Training Program | 301 Governors Drive Se, Huntsville, AL 35801 | 2020-04-15 |
| 1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
| 1003472978 | Gina Marie Delgado | Nurse Practitioner | Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 | 2019-05-15 |
| 1366909863 | Lisa Starkey Suggs | Nurse Practitioner | 3500 Memorial Parkway S.w., Huntsville, AL 35801 | 2019-02-21 |
| 1902373277 | Kelly S Fisher LLC | Counselor | 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 | 2018-10-25 |
| 1073097911 | Brittani B Hamrick | Psychologist | 203 Eastside Sq Ste C9, Huntsville, AL 35801 | 2018-09-17 |
| 1548748312 | Jane O. Orton, Licsw, LLC | Social Worker | 120 Holmes Ave Ne, Huntsville, AL 35801 | 2018-08-02 |
| 1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
| 1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
| Find all providers in zip 35801 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477166304 | Tia-ann Thompson | Student in an Organized Health Care Education/Training Program | 2435 Montgomery Rd Apt 214, Huntsville, TX 77340-6062 | 2020-08-29 |
| 1467063073 | Kelly Lynn Tillman | Student in an Organized Health Care Education/Training Program | 1802 Cross Creek Rd Se, Huntsville, AL 35802-3970 | 2020-08-17 |
| 1225657661 | Ashley Danielle Ford | Student in an Organized Health Care Education/Training Program | 301 Governors Drive Se, Huntsville, AL 35801 | 2020-04-15 |
| 1528687167 | James Paul Molyneux | Student in an Organized Health Care Education/Training Program | 301 Governors Dr Sw Ste 389, Huntsville, AL 35801-5123 | 2020-04-14 |
| 1619507126 | Dwight Alexander Love | Student in an Organized Health Care Education/Training Program | 2531 Rita Ln Nw, Huntsville, AL 35810-3565 | 2020-01-23 |
| 1437789955 | Katherine Valentine | Student in an Organized Health Care Education/Training Program | 11300 Regency Way Sw, Huntsville, AL 35803-5014 | 2020-01-23 |
| 1649800152 | Olivia Hammond | Student in an Organized Health Care Education/Training Program | 55 Walnut Cove Blvd Sw, Huntsville, AL 35824-4046 | 2020-01-23 |
| 1619507118 | Caleb Aycock | Student in an Organized Health Care Education/Training Program | 138 Matt Phillips Rd Nw, Huntsville, AL 35806-2202 | 2020-01-23 |
| 1790245728 | Ashlyn Marie Alongi | Student in an Organized Health Care Education/Training Program | 1301 Deborah Dr Se, Huntsville, AL 35801-1491 | 2019-03-25 |
| 1700347655 | Eman Alshaikh | Student in an Organized Health Care Education/Training Program | 301 Governors Dr Sw Rm 240, Huntsville, AL 35801-5123 | 2019-03-25 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35801 |
Please comment or provide details below to improve the information on MR. AUSTIN LAINE DAGES.
| 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.