Charles Ray Pearson, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD.012218 Issued in LA

Practice address

240 Highland Dr
Many, LA 71449-3718

Phone

(318) 256-5691

Fax

(318) 256-6539

NPI assigned

Jun 2, 2006

Last updated

Sep 16, 2011By the provider in NPPES

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 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sabine Hospitalist Physician Group, LLC

  • Hospitalist Physician
  • Many, LA
  • NPI 1710173893
  NPD (past) Authorized official
• Sabine Emergency Medicine LLC

  • Emergency Medicine Physician
  • Many, LA
  • NPI 1841477155
  NPD (past)
• Sulphur Emergency Group LLC

  • Emergency Medicine Physician
  • Sulphur, LA
  • NPI 1477522654
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1043258155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 HIGHLAND DR",
            "city": "MANY",
            "state": "LA",
            "postal_code": "714493718",
            "telephone_number": "318-256-5691",
            "fax_number": "318-256-6539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 HIGHLAND DR",
            "city": "MANY",
            "state": "LA",
            "postal_code": "714493718",
            "telephone_number": "318-256-5691",
            "fax_number": "318-256-6539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "CHARLES",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "MD.012218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCARE THRU GPN MANY",
            "identifier": "P00936767",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1158364",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northwest Lousiana Human Services District (Many Behavioral Health Clinic)
• Mary Ellen Parrie, FNP-C
• Melissa Ann Patton, OT
• Patvin D. Adams, MD, PLLC
• Adrianna Lea Payne
• Pediatric Center of Many LLC
• Pediatric Center of Many LLC
• Brooke E Perkins
• Kimberly Jo Prell
• Prism II, LLC

• Emergency Medicine Physician in Many, LA
• Providers in Many, LA by specialty
• Emergency Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.