GERDA AUGUSTIN MD – NPI #1881628436
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

GERDA AUGUSTIN is a physician located in CLARKSBURG, WV. NPPES has assigned the NPI number 1881628436 to GERDA AUGUSTIN on July 10, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 4 years ago on Oct 03, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GERDA AUGUSTIN below.

NPI Profile for
GERDA AUGUSTIN

NPI Number
1881628436
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
GERDA AUGUSTIN
Credentials
MD
Primary location
108 W PIKE ST
CLARKSBURG, WV 26301-2721
Phone: (304) 918-9286 Fax: (304) 918-9287
1 Other location(s):
141 S Black Horse Pike Ste 202
Blackwood, NJ 08012-2959
Phone: (856) 352-6041
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Oct 03, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for GERDA AUGUSTIN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidNJ0063002
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
WV 30878
208000000X
- Pediatrics
NJ MA07823800

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.