MR. WAYNE GERARD AUGUSTYNIAK (NPI# 1912999012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912999012 |
| Entity Type | Individual |
| Full Name | MR. WAYNE GERARD AUGUSTYNIAK |
| Credential | PA-C |
| Practice Address |
2889 South 11th Street Kalamazoo MI 49009-2123 |
| Mailing Address |
2889 S 11th St Kalamazoo MI 49009-2123 |
| Practice Telephone | 2693431247 |
| Practice Fax Number | 2693436661 |
| Mailing Telephone | 2693431247 |
| Mailing Fax Number | 2693436661 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2010-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601001009 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | STATE LICENCE NUMBER | 5601001009 | 01 |
| Street Address |
2889 SOUTH 11TH STREET |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49009-2123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396235222 | Cherian Counseling Pllc | Marriage & Family Therapist | 4341 W Nestnedge Avenue #1201, Kalamazoo, MI 49009 | 2018-05-16 |
| 1316450901 | Joslyn Aneice Johnson | Student in an Organized Health Care Education/Training Program | 1521 Summer Ridge Dr. Apt. A, Kalamazoo, MI 49009 | 2017-11-06 |
| 1063931160 | Morgan Lee Baughman | Social Worker | 2555 S 11th St. Suite B, Kalamazoo, MI 49009 | 2017-09-11 |
| 1811416845 | Karen Sue Franks | Registered Nurse | 615 E. Crosstown Parkway, Kalamazoo, MI 49009 | 2017-09-11 |
| 1780102327 | Jonathan Robert Klok | Counselor | 6963 West Kl Ave. Suite A, Kalamazoo, MI 49009 | 2017-09-04 |
| 1730624339 | Optimed Health Partners Inc | Home Infusion | 6480 Technology Ave Suite A, Kalamazoo, MI 49009 | 2017-01-05 |
| 1063961860 | Christine Murphy Lee | Physician Assistant | 6565 West Main St, Westside Family Medical Center, P.c, Kalamazoo, MI 49009 | 2016-09-22 |
| 1558732297 | West Point Optical Group | Optometrist | 575 S Drake Rd, Kalamazoo, MI 49009 | 2015-10-07 |
| 1386021012 | Leonora Tarantino | Physical Therapist | 9303 W P Ave, Kalamazoo, MI 49009 | 2015-05-01 |
| 1720474836 | Alyssa Sutter | Rehabilitation Practitioner | 5990 Venture Park Dr., Kalamazoo, MI 49009 | 2015-04-15 |
| Find all providers in zip 49009 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073057725 | Zachary Turk Harling | Physician Assistant | 2340 Waite Ave, Kalamazoo, MI 49008-1722 | 2016-12-15 |
| 1063961860 | Christine Murphy Lee | Physician Assistant | 6565 West Main St, Westside Family Medical Center, P.c, Kalamazoo, MI 49009 | 2016-09-22 |
| 1831470285 | Kalmazoo Gastroenterology Hepatology and Digestive Health Center | Physician Assistant | 1535 Gull Rd Ste 105, Kalamazoo, MI 49048-1630 | 2011-08-30 |
| 1922321322 | Lisa Marie Cotten | Physician Assistant | 4658 Silverleaf Ln, Kalamazoo, MI 49004-3179 | 2010-03-12 |
| 1043457534 | Carrie Ann Assenmacher | Physician Assistant | 1820 Shaffer Street, Kalamazoo, MI 49048-1604 | 2009-01-21 |
| 1801083126 | Jaclyn Frances Stoddard | Physician Assistant | 6565 West Main St., Kalamazoo, MI 49009 | 2007-10-01 |
| 1811085475 | James Bryon Newton | Physician Assistant | 4249 Pine Knoll Ave, Kalamazoo, MI 49004-9506 | 2006-10-10 |
| 1164490207 | William J Klerk Jr. | Physician Assistant | 1820 Shaffer St, Kalamazoo, MI 49048-1604 | 2006-03-14 |
| 1700880200 | Joseph Williams | Physician Assistant | 4613 W Main St, Ste. B, Kalamazoo, MI 49006-2645 | 2005-06-13 |
| 1679114847 | Patrick James O'hagan | Physician Assistant | 1535 Gull Rd Ste 105, Kalamazoo, MI 49048-1630 | 2019-09-30 |
| Find all providers in KALAMAZOO | ||||
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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.