Organization Active NPI

Augustine V Joseph MD PA

  • Specialist
  • Orlando, FL
National Provider Identifier
1407006166
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME59230 Issued in FL
Legal business name
AUGUSTINE V JOSEPH MD PA
Practice address
5200 Davisson Ave
Orlando, FL 32810-5350
Phone
(407) 290-1558
Fax
(407) 292-8852
NPI assigned
Sep 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Augustine Joseph, M.D.
Title
Owner
Phone
(407) 290-1558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME59230 FL Primary

Addresses

Primary practice location

5200 Davisson Ave
Orlando, FL 32810-5350

Mailing address

5200 Davisson Ave
Orlando, FL 32810-5350
Phone (407) 290-1558

Other identifiers 1

IdentifierTypeStateIssuer
055098100MedicaidFL

National Provider Directory

National Provider Directory

Locations

5200 Davisson Ave
Orlando, FL 32810
Phone (407) 290-1558

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1407006166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 DAVISSON AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328105350",
            "telephone_number": "407-290-1558",
            "fax_number": "407-292-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 DAVISSON AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328105350",
            "telephone_number": "407-290-1558",
            "fax_number": "407-292-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTINE V JOSEPH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "AUGUSTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-290-1558",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME59230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055098100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.