Charles D Jennings, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

3805 Issued in MT

Practice address

500 15TH Ave S
Suite 1
Great Falls, MT 59405-4324

Phone

(406) 455-3650

Fax

(406) 455-3695

NPI assigned

Jun 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)
• Great Falls Orthopaedic Associates

  • Specialist
  • Great Falls, MT
  • NPI 1104865120
  NPD (past)
• U S Health Dept of Health & Human Services

  • Clinic/Center
  • Heart Butte, MT
  • NPI 1598867848
  NPD (past)
• U S Health Dept of Health & Human Services

  • General Acute Care Hospital
  • Browning, MT
  • NPI 1861409955
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1023045226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 15TH AVE S",
            "address_2": "SUITE 1",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054324",
            "telephone_number": "406-455-3650",
            "fax_number": "406-455-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 15TH AVE S",
            "address_2": "SUITE 1",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054324",
            "telephone_number": "406-455-3650",
            "fax_number": "406-455-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "CHARLES",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MT",
            "license": "3805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020013476",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019201",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL WORK COMP",
            "identifier": "184609700",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000780",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON L&I",
            "identifier": "0012575",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Jo Jamieson
• Janine Hieb Lac LCPC
• Robinette Louise Jankiewicz, CRNA
• Michael A Jasumback, MD
• Gary Scott Jaynes, LAC
• Cherie Lynn Jennings, CRNA
• Ruth L Jennings, LCPC
• Amanda Elaine Jensen, RN, BSN
• Craig C Jensen, MA, LCPC, NCC
• Jeremy Evans Jensen, MD

• Specialist in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Specialist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.