Healthcare Provider Details

I. General information

NPI: 1801843933
Provider Name (Legal Business Name): AU MEDICAL ASSOCIATES ANESTHESIA BILLING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 12/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 15TH ST RM 2144
AUGUSTA GA
30912-0004
US

IV. Provider business mailing address

PO BOX 28246
SAINT LOUIS MO
63132-0246
US

V. Phone/Fax

Practice location:
  • Phone: 706-721-3873
  • Fax: 706-721-7763
Mailing address:
  • Phone: 866-700-2989
  • Fax: 314-292-6391

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. STEFFEN E MEILER
Title or Position: CHAIRMAN
Credential: MD
Phone: 423-424-3871