Organization Active NPI

Gregory D'Augustine, MD, PA

  • Surgery Physician
  • Lewiston, ME
National Provider Identifier
1871826909
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
GREGORY D'AUGUSTINE, MD, PA
Practice address
10 High Street
Suite 202
Lewiston, ME 04240-7657
Phone
(207) 784-2903
NPI assigned
Sep 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

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

Authorized official

Name
Gregory D'Augustine, MD
Title
President/ Owner
Phone
(207) 784-2903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

10 High Street
Suite 202
Lewiston, ME 04240-7657

Mailing address

PO Box 1849
Lewiston, ME 04241-1849
Phone (207) 784-2554

Other identifiers 1

IdentifierTypeStateIssuer
114000000MedicaidME

National Provider Directory

National Provider Directory

Locations

10 High St
Ste 202
Lewiston, ME 04240
Phone (207) 784-2903

NPI Registry JSON

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1871826909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1849",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042411849",
            "telephone_number": "207-784-2554",
            "fax_number": "207-777-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HIGH STREET",
            "address_2": "SUITE 202",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407657",
            "telephone_number": "207-784-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY D'AUGUSTINE, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-08",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "D'AUGUSTINE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "207-784-2903",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114000000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; 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.