Organization Active NPI

Michael Hsu M.D. LLC

  • Surgery Physician
  • St Augustine, FL
National Provider Identifier
1578851754
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME99434 Issued in FL
Legal business name
MICHAEL HSU M.D. LLC
Practice address
201 Health Park Blvd
Suite 107
Saint Augustine, FL 32086-5796
Phone
(904) 824-4277
Fax
(904) 824-4490
NPI assigned
Jul 21, 2011
Last updated
Jul 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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

Authorized official

Name
Dr. Michael Chang-CHI Hsu, M.D.NPI 1043325848
Title
Owner
Phone
(904) 824-4277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME99434 FL Primary

Addresses

Primary practice location

201 Health Park Blvd
Suite 107
Saint Augustine, FL 32086-5796

Mailing address

201 Health Park Blvd
Suite 107
Saint Augustine, FL 32086-5796
Phone (904) 824-4277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110824000497 FL Part B Supplier - Clinic/Group Practice 4688844905 Receives reassigned benefits from 1 practitioner
Practice locations: St Augustine, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311206400000",
    "number": "1578851754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HEALTH PARK BLVD",
            "address_2": "SUITE 107",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865796",
            "telephone_number": "904-824-4277",
            "fax_number": "904-824-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HEALTH PARK BLVD",
            "address_2": "SUITE 107",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865796",
            "telephone_number": "904-824-4277",
            "fax_number": "904-824-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL HSU M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-21",
        "last_updated": "2011-07-21",
        "status": "A",
        "authorized_official_last_name": "HSU",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CHANG-CHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-824-4277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME99434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.