Charles E Pogemiller Sr., MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MN22425 Issued in MN

Practice address

1215 Town Centre Dr
Eagan, MN 55123-1033

Phone

(651) 326-1515

Fax

(651) 326-1519

NPI assigned

Mar 3, 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 1

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

Locations

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.

• St. Cloud Hospital

  • Clinic/Center
  • St Cloud, MN
  • NPI 1770532426
  NPD

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1063489540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 TOWN CENTRE DR",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551231033",
            "telephone_number": "651-326-1515",
            "fax_number": "651-326-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 TOWN CENTRE DR",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551231033",
            "telephone_number": "651-326-1515",
            "fax_number": "651-326-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POGEMILLER",
        "first_name": "CHARLES",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "MN22425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "737885800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Owen Platt, LMT
• Mark Lochridge Pletz, O.D.
• Hailey Plonsky
• Helen Marie Plourde, MA, LMFT
• Bradley C Poff, DVM
• Michelle Megan Pohlod, CPHT
• Kiersten Lee Polaschek, DC
• Catherine Elizabeth Polovick, L.AC.
• Aaron Pope, MS, CFY-SLP
• Andrew Poquette, DC

• Family Medicine Physician in Eagan, MN
• Providers in Eagan, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.