Active NPI
Michael Hsu M.D. LLC
- Surgery Physician
- St Augustine, FL
National Provider Identifier
1578851754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME99434
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Surgery Physician
- St Augustine, FL
- NPI 1043325848
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.