Organization Active NPI

Charles a. Augustus II, M.D., P.a.

  • Obstetrics & Gynecology Physician
  • Homestead, FL
National Provider Identifier
1740576305
Registry record updated Apr 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME 42610 Issued in FL
Legal business name
CHARLES A. AUGUSTUS II, M.D., P.A.
Practice address
950 N Krome Ave Ste 403
Homestead, FL 33030-4443
Phone
(305) 245-1611
Fax
(305) 245-8898
NPI assigned
Jun 22, 2011
Last updated
Apr 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2012

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

Authorized official

Name
Mrs. Debbie Rufin
Title
Clerk
Phone
(305) 245-1611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X ME 42610 FL Primary

Addresses

Primary practice location

950 N Krome Ave Ste 403
Homestead, FL 33030-4443

Mailing address

950 N Krome Ave Ste 403
Homestead, FL 33030-4443
Phone (305) 245-1611

Other identifiers 2

IdentifierTypeStateIssuer
12156OtherFLBCBS OF FLORIDA
054130300MedicaidFL

National Provider Directory

National Provider Directory

Locations

950 N Krome Ave
Ste 403
Homestead, FL 33030
Phone (305) 245-1611

NPI Registry JSON

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334620800000",
    "number": "1740576305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N KROME AVE STE 403",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304443",
            "telephone_number": "305-245-1611",
            "fax_number": "305-245-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N KROME AVE STE 403",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304443",
            "telephone_number": "305-245-1611",
            "fax_number": "305-245-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES A. AUGUSTUS II, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2012-04-17",
        "status": "A",
        "authorized_official_last_name": "RUFIN",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "CLERK",
        "authorized_official_telephone_number": "305-245-1611",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME 42610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "12156",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054130300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.