Individual provider Active NPI

Charles Elwin Semler, M.D.

  • Family Medicine Physician
  • Story City, IA
National Provider Identifier
1124009618
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17972 Issued in IA
Practice address
705 8TH St
Story City, IA 50248-1301
Phone
(515) 733-5191
Fax
(515) 733-5354
NPI assigned
Nov 10, 2005
Last updated
May 20, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 17972 IA Primary

Addresses

Primary practice location

705 8TH St
Story City, IA 50248-1301

Mailing address

705 8TH St
Story City, IA 50248-1301
Phone (515) 733-5191

Other identifiers 1

IdentifierTypeStateIssuer
2068999MedicaidIA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17972IAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1124009618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 8TH ST",
            "city": "STORY CITY",
            "state": "IA",
            "postal_code": "502481301",
            "telephone_number": "515-733-5191",
            "fax_number": "515-733-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 8TH ST",
            "city": "STORY CITY",
            "state": "IA",
            "postal_code": "502481301",
            "telephone_number": "515-733-5191",
            "fax_number": "515-733-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMLER",
        "first_name": "CHARLES",
        "middle_name": "ELWIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "17972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2068999",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Story City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.