Amalakumar Dominic Augustine
STATE OF MISSOURI


Address: 22 Marr Ln, Saint Charles, MO 63303-9000
Phone: 6364983130

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.

Physician Overview

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

Claims Based Hospital Affiliation

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

Other Locations

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 Information

Organization Legal Name STATE OF MISSOURI
Physicians 34

Physicians with the same organization

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

Office Location

Street Address 22 MARR LN
City SAINT CHARLES
State MO
Zip 63303-9000

Physicians in the same zip code

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

Competitor

Search similar physicians

City SAINT CHARLES
Zip Code 63303
Specialty INTERNAL MEDICINE
City + Specialty SAINT CHARLES + INTERNAL MEDICINE

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Dataset Information

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.

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