Charles a Prentice MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME38475 Issued in FL

Legal business name

CHARLES A PRENTICE MD PA

Practice address

214 S Pine Ave
Inverness, FL 34452-4838

Phone

(352) 726-9006

NPI assigned

Nov 2, 2011

Organization subpart

No

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

Authorized official

Name

Charles Alexander Prentice, MDNPI 1134124951

Title

Physician

Phone

(352) 726-9006

Specialties & licenses 1

Addresses

Other names 1

• Charles A Prentice MD PA Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Charles Alexander Prentice, MD

  • Specialist
  • Inverness, FL
  • NPI 1134124951

  FL, Specialist

  Medicare reassignment NPD Authorized official
• Marlene Dixie Kramer, RD

  • Registered Dietitian
  • Inverness, FL
  • NPI 1467601179
  NPD (past)

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1013293109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 S PINE AVE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524838",
            "telephone_number": "352-726-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 S PINE AVE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524838",
            "telephone_number": "352-726-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES A PRENTICE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-02",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "PRENTICE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "352-726-9006",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME38475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charles A Prentice MD PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Carr, PTA
• Jessica Carrigan
• Juan Carlos Carvajal, MD
• Heather Ann Champion, LMHC
• Vincent Chan, PHARM D
• Shayla Monique Chase, LCSW
• Ashok Chaudhary, MD
• Jeetendra K Chaudhary, APRN
• Ramon Argenis Checo Arias, M.D.
• Nicholas Choto, DPT

• All providers in Inverness, FL
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.