Active NPI
Charles Russell King, CP
- Prosthetist
- Cumberland, MD
National Provider Identifier
1073813291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Practice address
- 52 Marion St
Cumberland, MD 21502-2548 - Phone
- (301) 707-0982
- Fax
- (301) 724-5050
- NPI assigned
- Oct 22, 2010
- 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 |
|---|---|---|---|---|
| Prosthetist | 224P00000X | Primary |
Addresses
Primary practice location
52 Marion St
Cumberland, MD 21502-2548
Mailing address
725 Park St
Suite 252
Cumberland, MD 21502-3172
Phone (301) 707-0982
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287705600000",
"number": "1073813291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 PARK ST",
"address_2": "SUITE 252",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215023172",
"telephone_number": "301-707-0982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 MARION ST",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215022548",
"telephone_number": "301-707-0982",
"fax_number": "301-724-5050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "CHARLES",
"middle_name": "RUSSELL",
"name_prefix": "Mr.",
"credential": "CP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-22",
"last_updated": "2010-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cumberland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.