Active NPI
Augustine V Joseph, MD
- Specialist
- Orlando, FL
National Provider Identifier
1750360459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME59230
- Practice address
- 5200 Davisson Ave
Suite a
Orlando, FL 32810-5350 - Phone
- (407) 290-1558
- Fax
- (407) 292-8852
- NPI assigned
- Jan 11, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | ME59230 | FL | Primary |
Addresses
Primary practice location
5200 Davisson Ave
Suite a
Orlando, FL 32810-5350
Mailing address
5200 Davisson Ave
Suite a
Orlando, FL 32810-5350
Phone (407) 290-1558
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 055098100 | Medicaid | FL |
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 |
|---|---|---|---|
| ME59230 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Spine & Pain Institute | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Clermont, FL
- NPI 1053769661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409097600000",
"number": "1750360459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 DAVISSON AVE",
"address_2": "SUITE A",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328105350",
"telephone_number": "407-290-1558",
"fax_number": "407-292-8852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 DAVISSON AVE",
"address_2": "SUITE A",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328105350",
"telephone_number": "407-290-1558",
"fax_number": "407-292-8852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "AUGUSTINE",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2014-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME59230",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "055098100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.