Charles W Cadenhead, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E4241 Issued in TX

Practice address

1417 North 1St Street Suite a
Haskell, TX 79521-0938

Phone

(940) 864-2636

Fax

(940) 864-3009

NPI assigned

Aug 3, 2006

Last updated

May 5, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 22, 2024 through Mar 22, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: charles.cadenhead@cadenheadmd.directbygreenway.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Charles W Cadenhead M D

  dba Cadenhead Rural Health Clinic

  • Rural Health Clinic/Center
  • Haskell, TX
  • NPI 1245491026
  Authorized official Same address or phone

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1174531735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 NORTH 1ST STREET SUITE A",
            "city": "HASKELL",
            "state": "TX",
            "postal_code": "795210938",
            "telephone_number": "940-864-2636",
            "fax_number": "940-864-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 NORTH 1ST STREET SUITE A",
            "city": "HASKELL",
            "state": "TX",
            "postal_code": "795210938",
            "telephone_number": "940-864-2636",
            "fax_number": "940-864-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADENHEAD",
        "first_name": "CHARLES",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E4241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225468-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "0049RE",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063645801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Austen, MSSA, LCSW
• Alyssa A Ballew, PHARMD, RPH
• Erica Marie Botcher
• Jerri Joyce Buerger, MA MMFT LMFT
• Nathan Buerkle, PHARMD
• Charles W Cadenhead M D (Cadenhead Rural Health Clinic)
• County of Throckmorton (Avir at Haskell)
• Raquel Leigh Decker, PHARMD
• Jordan Elaine Earle, FNP
• Ruth Lavone Ebangit, MD

• Family Medicine Physician in Haskell, TX
• Providers in Haskell, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.