Charles R Armstrong, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · West Plains, MO
NPI 1194890467 · NPPES record last updated Nov 10, 2010
Key facts
- NPI
- 1194890467
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- R6B28 (MO)
- Practice address
- 3102 Independence Square
West Plains, MO 65775-4235 - Phone
- (417) 257-7451
- Fax
- (417) 256-9277
- NPI assigned
- Nov 22, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R6B28 | MO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Plains Imaging LLC | Diagnostic Radiology | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | R6B28 | MO | Yes |
Addresses
Primary practice location
3102 Independence Square
West Plains, MO 65775-4235
Mailing address
3102 Independence SQ
P.O. Box 1100
West Plains, MO 65775-4235
Phone (417) 257-7451
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201702727 | Medicaid | MO | |
| P00007110 | Other | MO | RAILROAD MEDICARE |
| 112505001 | Medicaid | AR |
Other providers in West Plains, MO
- Mikenzie Anderson
- Ross Dimil Andreassen
- Anne C. Ream Optometry, PC
- Clara Nancy Applegate
- Kerri L Argabright
- Muhammad Javed Ashraf
- Dawson Austin
- Toni Raee Autrey
- Bruce Autry
- Jennnifer Avgerinos
All providers in West Plains, MO · Diagnostic Radiology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.