Individual provider Active NPI

Daniel Alexander Charlick, M.D.

  • Orthopaedic Surgery Physician
  • Canton, OH
National Provider Identifier
1093705063
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
15126R Issued in LA
Practice address
4760 Belpar St NW
Canton, OH 44718-3603
Phone
(330) 492-9200
Fax
(330) 492-5454
NPI assigned
Oct 21, 2005
Last updated
Mar 18, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 15126R LA Primary
Orthopaedic Surgery Physician 207X00000X 35090817 OH
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 35090817 OH

Addresses

Primary practice location

4760 Belpar St NW
Canton, OH 44718-3603

Mailing address

4760 Belpar St NW
Canton, OH 44718-3603
Phone (330) 492-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080826000028 OH Practitioner - Orthopedic SurgeryPractitioner - Diagnostic Radiology 5092895029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Diagnostic Radiology
Education
Georgetown University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthounited, Inc.Group PAC ID 9032197868, 89 clinicians

Practice addresses (Care Compare)

4760 Belpar St NW
Canton, OH 44718-3603
Phone (330) 492-9200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.13 of 100Reported as group
Quality
74.6
Promoting interoperability
70
Improvement activities
40
Cost
84.16

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15126RLAMDOrthopaedic Surgery Physician
35090817OHMDOrthopaedic Foot and Ankle Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthounited, Inc. Orthopaedic Surgery CurrentSince Jan 1, 2023 Accepting new patients
Orthounited, Inc. Orthopaedic Surgery CurrentSince Jan 1, 2023 Accepting new patients
Rockcastle County Hospital, Inc. Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

325 Springside Dr
Ste 101
Akron, OH 44333
Phone (330) 492-9200

2211 W State St
Alliance, OH 44601
Phone (330) 680-8735

4760 Belpar St NW
Canton, OH 44718
Phone (330) 244-1001

340 Oxford St
Dover, OH 44622
Phone (330) 343-0222

7442 Frank Ave NW
North Canton, OH 44720
Phone (330) 305-0838

Interoperability endpoints

  • Direct secure messaging: dcharlick@omni.medentdirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300406400000",
    "number": "1093705063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 BELPAR ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183603",
            "telephone_number": "330-492-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 BELPAR ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183603",
            "telephone_number": "330-492-9200",
            "fax_number": "330-492-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLICK",
        "first_name": "DANIEL",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2011-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "15126R",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35090817",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "OH",
            "license": "35090817",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.