Organization Active NPI

James L. Autin, M.D.,P.a.

  • Otolaryngology Physician
  • Port St Lucie, FL
National Provider Identifier
1922066216
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME43580 Issued in FL
Legal business name
JAMES L. AUTIN, M.D.,P.A.
Practice address
10377 S US Highway 1
Ste 101
Port St Lucie, FL 34952-5630
Phone
(772) 337-3700
Fax
(772) 335-7820
NPI assigned
May 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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

Authorized official

Name
Dr. James L Autin, M.D.
Title
Owner
Phone
(772) 337-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X ME43580 FL Primary

Addresses

Primary practice location

10377 S US Highway 1
Ste 101
Port St Lucie, FL 34952-5630

Mailing address

10377 S US Highway 1
Ste 101
Port St Lucie, FL 34952-5630
Phone (772) 337-3700

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/188/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1922066216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10377 S US HIGHWAY 1",
            "address_2": "STE 101",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525630",
            "telephone_number": "772-337-3700",
            "fax_number": "772-335-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10377 S US HIGHWAY 1",
            "address_2": "STE 101",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525630",
            "telephone_number": "772-337-3700",
            "fax_number": "772-335-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES L. AUTIN, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "AUTIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-337-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME43580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.