MR. WAYNE GERARD AUGUSTYNIAK PA-C NPI 1912999012

NPI Information

NPI: 1912999012
Provider Name: MR. WAYNE GERARD AUGUSTYNIAK, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
2889 SOUTH 11TH STREET
KALAMAZOO, MI
ZIP 49009
Phone: (269) 343-1247
Get Directions

MR. Wayne Gerard Augustyniak, PA-C is a medical physician assistant in Kalamazoo, MI. MR. Wayne Gerard Augustyniak, PA-C NPI is 1912999012. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2889 SOUTH 11TH STREET
KALAMAZOO, MI
ZIP 49009-123
Phone: (269) 343-1247
Fax: (269) 343-6661

The enumeration date for this NPI number is 8/16/2005 and was last updated on 12/2/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	5601001009	MICHIGAN	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C96066P01	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
2	970012762	MEDICARE PIN	MICHIGAN
3	5601001009	OTHER	MICHIGAN	STATE LICENCE NUMBER

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

NPI Synchronization or Removal

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