Amalakumar Dominic Augustine (NPI# 1871579896, PAC ID# 7214830843) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1871579896 |
PAC ID by PECOS | 7214830843 |
Professional Enrollment ID | I20040130000122 |
Full Name | Amalakumar Dominic Augustine |
Organization Legal Name | STATE OF MISSOURI |
Address |
22 Marr Ln Saint Charles MO 63303-9000 |
Phone Number | 6364983130 |
Gender | M |
Credential | MD |
Graduation Year | 1984 |
Primary Specialty | INTERNAL MEDICINE |
Group Practice PAC ID | 1456254226 |
Number of Group Practice Members | 35 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
260191 | BARNES-JEWISH ST PETERS HOSPITAL |
260163 | PARKLAND HEALTH CENTER |
260091 | SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS |
260077 | ST ANTHONY'S MEDICAL CENTER |
260005 | SSM ST JOSEPH HEALTH CENTER |
Address | Phone | Organization |
---|---|---|
1010 W Columbia St, Farmington, MO 63640-2902 | 5737566792 | STATE OF MISSOURI |
22 Marr Ln, Saint Charles, MO 63303-9000 | 6364983130 | STATE OF MISSOURI |
Organization Legal Name | STATE OF MISSOURI |
Physicians | 34 |
Name | Specialty | Organization | Address |
---|---|---|---|
Katelynn R Crawford | Nurse Practitioner | State of Missouri | 3505 Frederick Ave, Saint Joseph, MO 64506-2914 |
Erich Haezebrouck | Psychologist, Clinical | State of Missouri | 5351 Delmar Blvd, Saint Louis, MO 63112-3146 |
Ralph Leigh | Emergency Medicine | State of Missouri | 1010 W Columbia St, Farmington, MO 63640-2902 |
Mark A Felchlia | Psychologist, Clinical | State of Missouri | 5300 Arsenal St, Saint Louis, MO 63139-1463 |
Preston B Howerton | Internal Medicine | State of Missouri | 1547 Commerce Dr, Marshall, MO 65340-3907 |
Sridevi Gavirneni | Psychiatry | State of Missouri | 10695 Bellefontaine Rd, Saint Louis, MO 63137-2315 |
Lewis Peck Shilane | Family Practice | State of Missouri | 2041 E Hunter St Ab, Nevada, MO 64772-8478 |
Brandy Baczwaski | Psychologist, Clinical | State of Missouri | 600 E 5th St, Fulton State Hospital, Fulton, MO 65251-1793 |
William R Enochs | Psychiatry | State of Missouri | 3505 Frederick Ave, Saint Joseph, MO 64506-2914 |
Michael G Maurizi | Psychiatry | State of Missouri | 1547 Commerce Dr, Marshall, MO 65340-3907 |
Street Address |
22 MARR LN |
City | SAINT CHARLES |
State | MO |
Zip | 63303-9000 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rachel H Smith | Nurse Practitioner | Ssm Medical Group Inc | 2310 S Old Hwy 94, Ssm Health Medical Grp, St Charles, MO 63303 |
Omar Ahmad Mahmood | Diagnostic Radiology | Red River Consultants Inc | 10 Maryells Way, Saint Charles, MO 63303-1348 |
Martin P Altman | Gastroenterology | Ssm St.charles Clinic Medical Group Inc | 1551 Wall St, Suite 400, St Charles, MO 63303-2597 |
Amy B Willbanks | Nurse Practitioner | Ssm St.charles Clinic Medical Group Inc | 1551 Wall St, Suite 400, St Charles, MO 63303-2597 |
Kathleen M Uhlig | Physical Therapy | Prorehab PC | 2053 Zumbehl Rd, Saint Charles, MO 63303-2723 |
Rachel E Merriman | Optometry | Kwiatek Optometry Associates PC | 2035 Zumbehl Rd, Saint Charles, MO 63303-2723 |
Stephen Mccullough | Optometry | Kwiatek Optometry Associates PC | 2035 Zumbehl Rd, Saint Charles, MO 63303-2723 |
Alan S Kwiatek | Optometry | Kwiatek Optometry Associates PC | 2035 Zumbehl Rd, Saint Charles, MO 63303-2723 |
David A Horton | Physical Therapy | Prorehab PC | 2053 Zumbehl Rd, Saint Charles, MO 63303-2723 |
Mary J Bennett | Optometry | Kwiatek Optometry Associates PC | 2035 Zumbehl Rd, Saint Charles, MO 63303-2723 |
Find all physicians in zip 63303 |
City | SAINT CHARLES |
Zip Code | 63303 |
Specialty | INTERNAL MEDICINE |
City + Specialty | SAINT CHARLES + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Amalakumar Dominic Augustine.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.