MEDICARE: DR. THOMAS ROBERT AUSTGEN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	ME95091	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00722976	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	2922220	OTHER	FL	CIGNA
3	48980	OTHER	FL	BLUE CROSS BLUE SHIELD
4	294577	OTHER	FL	AVMED
5	4516825	OTHER	FL	AETNA
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558307660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS ROBERT AUSTGEN MD

Provider Business Mailing Address
First Line	:	11945 SAN JOSE BLVD
Second Line	:	BLDG 300
City	:	JACKSONVILLE
State	:	FL
Zip	:	32223-1613
Country	:	US
Telephone Number	:	904-396-1725
Fax Number	:	904-399-1717

Provider Business Practice Location Address
First Line	:	1370 13TH AVE S
Second Line	:	SUITE 116
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-3206
Country	:	US
Telephone Number	:	904-247-3858
Fax Number	:	904-247-7079

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2006
Last Update Date	:	06/22/2011

Similar Medicare Providers

1770016800 — DR. MICHAEL S TODINCA M.D.
Practice Location Address:

1370 13TH AVE S STE 215
JACKSONVILLE BEACH, FL
32250-3206

Practice Phone: 904-249-1041
Practice Fax: 904-249-9764

1750378311 — THOMAS M SNYDER MD
Practice Location Address:

1370 13TH AVE S STE 215
JACKSONVILLE BEACH, FL
32250-3206

Practice Phone: 904-249-1041
Practice Fax: 904-249-9764

1255328860 — DR. KAREN K THALINGER MD
Practice Location Address:

1370 13TH AVE S STE 215
JACKSONVILLE BEACH, FL
32250-3206

Practice Phone: 904-249-1041
Practice Fax: 904-249-9764

1841251949 — SAMUEL A. CHRISTIAN M.D.
Practice Location Address:

1370 13TH AVENUE, SOUTH , SUITE 118
JACKSONVILLE BEACH, FL
32250-3206

Practice Phone: 904-247-1456
Practice Fax: 904-247-2281

1497713614 — DR. AGNES G. DAVID M. D.
Practice Location Address:

1370 13TH AVENUE , SUITE 119
JACKSONVILLE BEACH, FL
32250-3206

Practice Phone: 904-249-4994
Practice Fax: 904-249-2604

1932146875 — BEACHES NEUROLOGY CLINIC
Practice Location Address:

1370 13TH AVE S STE 215
JACKSONVILLE BEACH, FL
32250-3206

Practice Phone: 904-249-1041
Practice Fax: 904-249-9764

Directions to “ DR. THOMAS ROBERT AUSTGEN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.