UNIVERSITY CARDIOLOGY ASSOCIATES LLC (NPI# 1902198369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902198369 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY CARDIOLOGY ASSOCIATES LLC |
| Other Organization Name | AUGUSTA HEART ASSOCIATES |
| Practice Address |
818 Saint Sebastian Way Ste 308 Augusta GA 30901-2653 |
| Mailing Address |
Po Box 925 Augusta GA 30903-0925 |
| Practice Telephone | 7067244400 |
| Practice Fax Number | 7067246003 |
| Mailing Telephone | 7067747263 |
| Mailing Fax Number | 7067747230 |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2018-10-29 |
| Authorized Official Name | JULIE DEASON (DIRECTOR) |
| Authorized Official Telephone | 7067748326 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Augusta Heart Associates | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2258 Wrightsboro Rd Ste 400, Augusta, GA 309044788 | 7067244400 | 7067246003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316239346 | University Cardiology Associates LLC | Internal Medicine | 818 Saint Sebastian Way Ste 311, Augusta, GA 30901-2653 | 2011-05-10 |
| 1699067629 | University Cardiology Associates LLC | Internal Medicine | 1348 Walton Way Ste 5100, Augusta, GA 30901 | 2011-05-10 |
| Street Address |
818 SAINT SEBASTIAN WAY STE 308 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30901-2653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962577239 | Jennifer Angela Mcnear | Internal Medicine | 818 Saint Sebastian Way Ste 308, Augusta, GA 30901-2653 | 2006-11-22 |
| 1730699737 | Erica Lauren Mitchell | Nurse Practitioner | 818 Saint Sebastian Way Ste 308, Augusta, GA 30901 | 2017-10-04 |
| 1336386986 | Tamiko Molet | Nurse Practitioner | 818 Saint Sebastian Way Ste 308, Augusta, GA 30901-2653 | 2009-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
| 1699263921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1022 Walton Way Spc C, Augusta, GA 30901 | 2018-04-23 |
| 1235684192 | Heather Raborn | Allergy & Immunology | 1350 Walton Way Ste 5100, Augusta, GA 30901 | 2016-08-22 |
| 1457690745 | Rehab Without Walls, Inc. | In Home Supportive Care | 820 St Sebastin Way Se, Augusta, GA 30901 | 2013-02-06 |
| 1861788051 | Christina Weidner Belcher | Physical Therapist | 1246 Pine St, Augusta, GA 30901 | 2011-06-25 |
| 1750695979 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 1456 Walton Way Suite B, Augusta, GA 30901 | 2010-07-29 |
| 1366773905 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4027 Wheeler Rd, Augusta, GA 30901 | 2010-01-21 |
| 1851622484 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 Forest Drive, Augusta, GA 30901 | 2010-01-21 |
| 1760615280 | Absolute Family PCh | Point of Service | 2035 Old Savannah Rd., Augusta, GA 30901 | 2009-09-01 |
| 1073740643 | Ryan J Altenburg | Internal Medicine | 820 Saint Sebastian Way Ste 8a, Augusta, GA 30901 | 2009-06-22 |
| Find all providers in zip 30901 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1215399456 | Raymond Mai | Internal Medicine | 1120 15th St # 6518, Augusta, GA 30912-1436 | 2016-03-27 |
| 1861714321 | James Walter Ryan | Internal Medicine | 3047 Lake Forest Dr, Augusta, GA 30909-3027 | 2010-02-24 |
| 1427157114 | Joseph Frank Pensabene | Internal Medicine | 1348 Walton Way Ste 5100, Augusta, GA 30901-5108 | 2006-09-21 |
| 1508962333 | William Joseph Wylie | Internal Medicine | 837 Chafee Ave, Augusta, GA 30904 | 2006-09-16 |
| 1730108846 | Keith Sue-ling | Internal Medicine | 1349 Druid Park Ave, Augusta, GA 30904 | 2006-07-19 |
| 1033157011 | Augusta Heart Associates | Internal Medicine | 818 St Sebastian Way, Ste 308, Augusta, GA 30901-1076 | 2006-06-03 |
| 1952375537 | Sameh Z. Lamiy | Internal Medicine | 818 Saint Sebastian Way Ste 311, Augusta, GA 30901-2653 | 2006-02-13 |
| 1639159064 | David T. Frost | Internal Medicine | 35 Medical Center Parkway, Suite 101, Augusta, ME 04330 | 2006-01-20 |
| 1134109051 | Rakesh I Baman | Internal Medicine | 2258 Wrightsboro Rd Ste 400, Augusta, GA 30904-4788 | 2006-01-18 |
| 1730168261 | Faiz U Rehman | Internal Medicine | 818 Saint Sebastian Way Ste 307, Augusta, GA 30901 | 2006-01-12 |
| 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.