Charles F Damico MD PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

11846 Issued in NE

Legal business name

CHARLES F DAMICO MD PC

Practice address

1401 E H St
McCook, NE 69001-3432

Phone

(308) 345-3074

Fax

(308) 345-1190

NPI assigned

Jun 11, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles F Damico, MD

Title

Owner Physician

Phone

(402) 463-2111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124221627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 S BURLINGTON AVE",
            "address_2": "SUITE 115",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689015904",
            "telephone_number": "402-463-2111",
            "fax_number": "402-463-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E H ST",
            "city": "MCCOOK",
            "state": "NE",
            "postal_code": "690013432",
            "telephone_number": "308-345-3074",
            "fax_number": "308-345-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES F DAMICO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAMICO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "402-463-2111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NE",
            "license": "11846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in McCook, NE
• Providers in McCook, NE by specialty
• Urology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.