Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 35-082423 | OH |
NPI | 1053330456 |
---|---|
Provider Name | Joshua J Augustine |
First Address | Cleveland, OH 44195-0001 |
Second Address | Cleveland, OH 44195-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 19/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000224449 | UNISON (01) | |
000000539415 | ANTHEM (01) | |
2480828 | (05) | OH |
363327 | WELLCARE (01) | |
7022582 | AETNA (01) | |
741796 | BUCKEYE (01) | |
O06065 | (02) | |
P00203479 | RAILROAD MEDICARE (01) | OH |