Charles L Joachim, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

19971 Issued in SC

Practice address

309 Bridgeton CT
Wilmington, NC 28411-8600

Phone

(910) 681-1262

NPI assigned

Jun 28, 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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.

• Charlotte Harbor Anesthesia PA

  • Anesthesiology Physician
  • St Petersburg, FL
  • NPI 1912012642
  NPD (past)
• Coastal Anesthesia Medical Group, LLC

  • Anesthesiology Physician
  • Myrtle Beach, SC
  • NPI 1609813179
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1083642441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 BRIDGETON CT",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284118600",
            "telephone_number": "910-681-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 BRIDGETON CT",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284118600",
            "telephone_number": "910-681-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOACHIM",
        "first_name": "CHARLES",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "19971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199715",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE",
            "identifier": "20-19971",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wilson O'Kelly Jewell, D.D.S.
• Jill N Baillio
• Amber Renee Jimenez, MD
• Ling Jin, LCMHCA
• JMF Wellness LLC Pure Physical Therapy (Pure Physical Therapy)
• James Golden Joachim, MD
• John a Overton II DDS PA (Mayfaire Family Dentistry)
• John D Lanthier, DPM, Facfas
• John E Hoggard DMD PLLC
• John F White DDS PA

• Anesthesiology Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Anesthesiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.