| University Critical Care Medicine Llc | |
|
1350 Walton Way Augusta GA 30901-2612 | |
| (706) 774-5795 | |
| (706) 774-5792 |
| Full Name | University Critical Care Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1350 Walton Way, Augusta, Georgia |
| Authorized Official Name and Position | Dave Belkoski (EXECUTIVE VP, CFO) |
| Authorized Official Contact | 7067747263 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Critical Care Medicine Llc Po Box 1705 Augusta GA 30903-1705 Ph: (706) 774-7263 | University Critical Care Medicine Llc 1350 Walton Way Augusta GA 30901-2612 Ph: (706) 774-5795 |
| NPI Number | 1457799983 |
|---|---|
| Provider Enumeration Date | 06/06/2013 |
| Last Update Date | 07/03/2013 |
| Medicare PECOS PAC ID | 8123260445 |
|---|---|
| Medicare Enrollment ID | O20130815000207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457799983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | (* (Not Available)) | Primary |
| Provider Name | James M Bailey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225059819 PECOS PAC ID: 8820032246 Enrollment ID: I20050616000699 |
| Provider Name | Neil A Epperly |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1447232715 PECOS PAC ID: 2769489004 Enrollment ID: I20061031000161 |
| Provider Name | Matthew Hoffman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1982727749 PECOS PAC ID: 6204920598 Enrollment ID: I20070918000090 |
| Provider Name | Donald H Loebl |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679787212 PECOS PAC ID: 3274689591 Enrollment ID: I20090928000560 |
| Provider Name | Steven B Vaughn |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1396727673 PECOS PAC ID: 5799788816 Enrollment ID: I20100210000055 |
| Provider Name | Connie A Trello |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609858984 PECOS PAC ID: 2163425281 Enrollment ID: I20100210000062 |
| Provider Name | Gena Johnson Markwalter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508993924 PECOS PAC ID: 6901921212 Enrollment ID: I20100909001057 |
| Provider Name | Enoch B Lule |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013147107 PECOS PAC ID: 8325218019 Enrollment ID: I20110907001500 |
| Provider Name | Babatunde Edun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154624427 PECOS PAC ID: 7517130107 Enrollment ID: I20111027000905 |
| Provider Name | Jonathan Lawson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1992933584 PECOS PAC ID: 5698913390 Enrollment ID: I20141009002500 |
| Provider Name | Sebastian Circo |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1710275359 PECOS PAC ID: 7315113073 Enrollment ID: I20151027003205 |
| Provider Name | Scott Randall Dryzer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164494621 PECOS PAC ID: 1557335395 Enrollment ID: I20170525002497 |
| Provider Name | Diana Durrance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356882252 PECOS PAC ID: 1153696703 Enrollment ID: I20171006001117 |
| Provider Name | Geoffrey A Loh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1043504129 PECOS PAC ID: 2264662519 Enrollment ID: I20180727000673 |
| Provider Name | Alishia M Mccoullough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982197570 PECOS PAC ID: 9931459484 Enrollment ID: I20180905001137 |
| Provider Name | Bruce Lee Whitaker |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790923969 PECOS PAC ID: 0446437131 Enrollment ID: I20200831002624 |
| Provider Name | Sarika Mishra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003445313 PECOS PAC ID: 8426476045 Enrollment ID: I20200915000643 |
| Provider Name | Michael Grant Ehrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780280495 PECOS PAC ID: 4981016771 Enrollment ID: I20201221001002 |
| Provider Name | Noel P Curcio |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1053322172 PECOS PAC ID: 7214948199 Enrollment ID: I20210402000583 |
| Provider Name | William Erwin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538154158 PECOS PAC ID: 7911006341 Enrollment ID: I20210415000173 |
| Provider Name | Youssef Salim Anid |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1902891864 PECOS PAC ID: 5597770362 Enrollment ID: I20210419000598 |
| Provider Name | Vikas Punjabi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780874313 PECOS PAC ID: 3476677675 Enrollment ID: I20220701001688 |
| Provider Name | Rebecca L White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396311015 PECOS PAC ID: 4183000821 Enrollment ID: I20221003002381 |
| Provider Name | Carlos Silva |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1659675296 PECOS PAC ID: 9436372638 Enrollment ID: I20221228003191 |
| Provider Name | Joseph Lamar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073928883 PECOS PAC ID: 7618193913 Enrollment ID: I20230901003653 |
| Provider Name | Hector E Santiago Belledonne |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1487852919 PECOS PAC ID: 4385885268 Enrollment ID: I20230915000351 |
Jack H. Austin, Jr., Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 St. Sebastian Way, Suite 4a, Augusta, GA 30901 Phone: 706-724-4376 Fax: 706-731-5289 | |
Augusta Hypertention, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1021 15th St Ste 2, Bio Tech Park, Augusta, GA 30901 Phone: 706-722-4688 Fax: 706-722-8194 | |
Reba Brown Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 Pleasant Home Rd Ste A, Augusta, GA 30907 Phone: 706-364-7398 | |
Benjamin L. Rucker M.d. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1138 Druid Park Ave, Suite B, Augusta, GA 30904 Phone: 706-733-9447 Fax: 706-738-0863 | |
Neighborhood Improvement Project Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2300 Wrightsboro Rd, Augusta, GA 30904 Phone: 706-790-4440 | |
Christ Community Health Services Augusta, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 127 Telfair St, Augusta, GA 30901 Phone: 706-922-0600 Fax: 706-922-0604 | |
Halbert C Capuy Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 Garredd Blvd, Suite A, Augusta, GA 30909 Phone: 706-863-5776 Fax: 706-868-7057 |