Active NPI
Charles a Raugh DPM PC
- Podiatrist
- Washington, DC
National Provider Identifier
1144316936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO347
- Legal business name
- CHARLES A RAUGH DPM PC
- Practice address
- 1800 I St NW
Suite 503B
Washington, DC 20006-5407 - Phone
- (202) 628-2230
- NPI assigned
- Oct 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles Alan Raugh, DPM
- Title
- Owner Practitioner
- Phone
- (202) 628-2230
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO347 | DC | Primary |
Addresses
Primary practice location
1800 I St NW
Suite 503B
Washington, DC 20006-5407
Mailing address
1800 I St NW
Suite 503B
Washington, DC 20006-5407
Phone (202) 628-2230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 066651 | Other | ANTHEM BCBS OF VIRGINIA |
Other names 1
- Farragut Podiatry Associates
National Provider Directory
National Provider DirectoryLocations
1800 I St NW
Ste 503
Washington, DC 20006
Phone (202) 628-2230
1800 I St NW
Ste 503B
Washington, DC 20006
Phone (202) 628-2230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185408000000",
"number": "1144316936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 I ST NW",
"address_2": "SUITE 503B",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200065407",
"telephone_number": "202-628-2230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 I ST NW",
"address_2": "SUITE 503B",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200065407",
"telephone_number": "202-628-2230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLES A RAUGH DPM PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-26",
"status": "A",
"authorized_official_last_name": "RAUGH",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "OWNER PRACTITIONER",
"authorized_official_telephone_number": "202-628-2230",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "DC",
"license": "PO347",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS OF VIRGINIA",
"identifier": "066651",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Farragut Podiatry Associates",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.