Dr Augustine MD & Associates Primary Care Medical Clinic

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101223331 Issued in VA

Legal business name

DR AUGUSTINE MD & ASSOCIATES PRIMARY CARE MEDICAL CLINIC

Practice address

314 Fairy Street Ext
Ste a
Martinsville, VA 24112-1913

Phone

(757) 271-5544

Fax

(757) 271-6335

NPI assigned

Jan 6, 2012

Organization subpart

No

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

Authorized official

Name

Paul Augustine, MD

Title

Owner

Phone

(757) 271-5544

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1477823482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 FAIRY STREET EXT",
            "address_2": "STE A",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121913",
            "telephone_number": "757-271-5544",
            "fax_number": "757-271-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 FAIRY STREET EXT",
            "address_2": "STE A",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121913",
            "telephone_number": "757-271-5544",
            "fax_number": "757-271-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR AUGUSTINE MD & ASSOCIATES PRIMARY CARE MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "AUGUSTINE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-271-5544",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101223331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig B Dietrich, D.M.D.
• Deshunta Dillard
• Tanell Dillard
• Wyvette Dillard
• Clare Daniel Doss, FNP-C
• Dr. James P. Julian, D.D.S., P.C.
• Dr. John R. Wheless III, DDS
• Dr. Jon'S Urgent Care Center, LLC
• Cody M Drake, DPM
• Wesley Louis Cody Dubose, DPT

• Internal Medicine Physician in Martinsville, VA
• Providers in Martinsville, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.