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CSRA EMERGENCY PHYSICIANS PC NPI 1447352778


NPI Information

NPI: 1447352778
Provider Name: CSRA EMERGENCY PHYSICIANS, PC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
3651 WHEELER ROAD
ER DEPT.
AUGUSTA, GA
ZIP 30909
Phone: (706) 651-2369
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CSRA EMERGENCY PHYSICIANS, PC is an emergency medicine in Augusta, GA. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. CSRA EMERGENCY PHYSICIANS, PC NPI is 1447352778. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3651 WHEELER ROAD
ER DEPT.
AUGUSTA, GA
ZIP 30909
Phone: (706) 651-2369
Fax: (706) 651-2364

The provider's authorized official is William Mark Newton .
The authorized official title is Md/owner and has the following contact phone number (706) 737-4575.

The enumeration date for this NPI number is 9/5/2006 and was last updated on 10/4/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207PE0004XEmergency MedicineEmergency Medical ServicesNo
2207PP0204XEmergency MedicinePediatric Emergency MedicineNo
3207PS0010XEmergency MedicineSports MedicineNo
4207Q00000XFamily MedicineNo
5207QA0000XFamily MedicineAdolescent MedicineNo
6207QA0505XFamily MedicineAdult MedicineNo
7207QG0300XFamily MedicineGeriatric MedicineNo
8207QS0010XFamily MedicineSports MedicineNo
9207P00000XEmergency MedicineGEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GPA828MEDICAIDSOUTH CAROLINA
21922114677OTHERNPI - PAUL H. BONUCCI, MD
31356345136OTHERNPI - RONALD BEAUDREAU
41487763827OTHERNPI - TROY COON
5CK6976MEDICARE PINGEORGIA
61184733735OTHERNPI - MICHAEL ECKERT, DO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.