Organization Active NPI

Charles E. Hull, M.D., Inc.

  • Internal Medicine Physician
  • Fremont, OH
National Provider Identifier
1144379538
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
27964 Issued in OH
Legal business name
CHARLES E. HULL, M.D., INC.
Practice address
1916 Glen Springs Dr
Fremont, OH 43420-3293
Phone
(419) 332-4648
Fax
(419) 332-9099
NPI assigned
Jan 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Charles E. Hull, M.D.NPI 1750374393
Title
President
Phone
(419) 332-4648

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 27964 OH Primary

Addresses

Primary practice location

1916 Glen Springs Dr
Fremont, OH 43420-3293

Mailing address

1916 Glen Springs Dr
Fremont, OH 43420-3293
Phone (419) 332-4648

Other identifiers 1

IdentifierTypeStateIssuer
0120023MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144379538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 GLEN SPRINGS DR",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434203293",
            "telephone_number": "419-332-4648",
            "fax_number": "419-332-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 GLEN SPRINGS DR",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434203293",
            "telephone_number": "419-332-4648",
            "fax_number": "419-332-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES E. HULL, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HULL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-332-4648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "27964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0120023",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, OH

Sources for this page

  • 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.