Active NPI
Edwin Charles Augustat, M.D.
- Ophthalmology Physician
- Fort Worth, TX
National Provider Identifier
1447236708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- D6229
- Practice address
- 909 9TH Ave
Ste 401
Fort Worth, TX 76104-3903 - Phone
- (817) 338-4183
- Fax
- (817) 338-0938
- NPI assigned
- Dec 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | D6229 | TX | Primary |
Addresses
Primary practice location
909 9TH Ave
Ste 401
Fort Worth, TX 76104-3903
Mailing address
909 9TH Ave
Ste 401
Fort Worth, TX 76104-3903
Phone (817) 338-4183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D6229 | TX | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199404800000",
"number": "1447236708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 9TH AVE",
"address_2": "STE 401",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043903",
"telephone_number": "817-338-4183",
"fax_number": "817-338-0938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 9TH AVE",
"address_2": "STE 401",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043903",
"telephone_number": "817-338-4183",
"fax_number": "817-338-0938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUGUSTAT",
"first_name": "EDWIN",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-19",
"last_updated": "2008-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "D6229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.