Active NPI
Charles Stroud Gawthrop Jr., MD
- Otolaryngology Physician
- Paoli, PA
National Provider Identifier
1043376064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD431203
- Practice address
- 11 Industrial Blvd
Ste 102
Paoli, PA 19301-1620 - Phone
- (215) 662-2137
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD431203 | PA | Primary |
Addresses
Primary practice location
11 Industrial Blvd
Ste 102
Paoli, PA 19301-1620
Mailing address
11 Industrial Blvd
Ste 102
Paoli, PA 19301-1620
Phone (215) 662-2137
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | charles.gawthrop@lkm.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090811000592 | PA | Practitioner - Otolaryngology | 1951455831 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Jefferson Medical College of Thomas Jefferson University, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lawrence I Katin MD PC
Practice addresses (Care Compare)
11 Industrial Blvd
Suite 102
Paoli, PA 19301-1620
Phone (610) 647-6070
Hospital & facility affiliations
- Paoli Hospital
- Main Line Hospital Lankenau
- Bryn Mawr Hospital
- Hospital of Univ of Pennsylvania
- Chester County Hospital
- Bryn Mawr Rehabilitation Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD431203 | PA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawrence I Katin MD PC | Otolaryngology | Current | Accepting new patients |
| Lawrence I Katin MD | Otolaryngology | Past | Accepting new patients |
Locations
255 W Lancaster Ave
Ste 224
Paoli, PA 19301
Phone (610) 296-5801
11 Industrial Blvd
Ste 102
Paoli, PA 19301
Phone (610) 647-3077
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CEGCAD/Endpoint/CEGCAD
Organizations & group practices 2
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.
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Malvern, PA
- NPI 1396850368
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618790400000",
"number": "1043376064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 INDUSTRIAL BLVD",
"address_2": "STE 102",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011620",
"telephone_number": "215-662-2137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 INDUSTRIAL BLVD",
"address_2": "STE 102",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011620",
"telephone_number": "215-662-2137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAWTHROP",
"first_name": "CHARLES",
"middle_name": "STROUD",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2021-04-19",
"certification_date": "2021-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "PA",
"license": "MD431203",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "charles.gawthrop@lkm.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "11 INDUSTRIAL BLVD",
"address_2": "STE 102",
"city": "PAOLI",
"state": "PA",
"country_code": "US",
"postal_code": "193011620",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Paoli, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.