Active NPI
Charles H Waples Jr., MD
- Internal Medicine Physician
- Philadelphia, PA
National Provider Identifier
1144375080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD021105E
- Practice address
- 5801 Spouce Street
Philadelphia, PA 19139 - Phone
- (215) 747-9195
- Fax
- (215) 474-3438
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD021105E | PA | Primary |
Addresses
Primary practice location
5801 Spouce Street
Philadelphia, PA 19139
Mailing address
5801 Spouce Street
Philadelphia, PA 19139
Phone (215) 747-9195
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0059453201 | Medicaid | PA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144375080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5801 SPOUCE STREET",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19139",
"telephone_number": "215-747-9195",
"fax_number": "215-474-3438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5801 SPOUCE STREET",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19139",
"telephone_number": "215-747-9195",
"fax_number": "215-474-3438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAPLES",
"first_name": "CHARLES",
"middle_name": "H",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD021105E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0059453201",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.