Charles John Ablan, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

106333 Issued in FL

Practice address

14540 Cortez Blvd
Suite 123
Brooksville, FL 34613-6056

Phone

(352) 596-1513

Fax

(352) 596-5918

NPI assigned

Aug 23, 2006

Last updated

Mar 7, 2023By 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 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Nature Coast Surgical Associates, PA

  • Surgery Physician
  • Brooksville, FL
  • NPI 1619058336
  NPD (past)
• Mercy Health Northwest Arkansas Communities

  • Endocrinology, Diabetes & Metabolism Physician
  • Rogers, AR
  • NPI 1770087371
  NPD (past)
• Rockdale Vascular and Thoracic Surgery, LLC

  • Vascular Surgery Physician
  • Conyers, GA
  • NPI 1184879678
  NPD (past)
• St. Louis Heart Institute Cardiothoracic Surgeons, Inc.

  dba St. Louis Heart Institute

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Saint Peters, MO
  • NPI 1013935816
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1174630529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4264 BRAEMERE DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346090682",
            "telephone_number": "352-596-1513",
            "fax_number": "352-596-5918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14540 CORTEZ BLVD",
            "address_2": "SUITE 123",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136056",
            "telephone_number": "352-596-1513",
            "fax_number": "352-596-5918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABLAN",
        "first_name": "CHARLES",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AR",
            "license": "E-4352",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "WI",
            "license": "35260",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "106333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00426308",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Qahtan A Abdulfattah, MD
• Ahmed Zafar Abdullah, MD
• Muhammad Abdullah, MBBS
• David Abergel
• Abide in Him, Inc
• Dayana Abraham, ARNP-C
• Roby Abraham
• Husam Ali Abuzarad, MD
• Access 2 Health Care Physicians, LLC
• Access Health Care Physicians LLC

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.