Individual provider Active NPI

Charles E Giangarra, MD

  • Orthopaedic Surgery Physician
  • Huntington, WV
National Provider Identifier
1205895000
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
21528 Issued in WV
Practice address
1600 Medical Center Dr Ste 1600
Huntington, WV 25701-3656
Phone
(304) 691-1262
NPI assigned
Mar 21, 2006
Last updated
Nov 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 21528 WV Primary
Orthopaedic Surgery Physician 207X00000X ME135821 FL
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 21528 WV
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X ME135821 FL

Addresses

Primary practice location

1600 Medical Center Dr Ste 1600
Huntington, WV 25701-3656

Mailing address

1600 Medical Center Dr Ste G500
Huntington, WV 25701-3659
Phone (304) 691-1262

Other practice location 1

9975 Tavistock Lakes Blvd
Orlando, FL 32827-7664
Phone (407) 266-3627

Other practice location 2

3400 Quadrangle Blvd
Orlando, FL 32817
Phone (407) 266-3627

Other practice location 3

3400 Quadrangle Blvd
Orlando, FL 32817
Phone (407) 266-3627

Other practice location 4

3400 Quadrangle Blvd
Orlando, FL 32817
Phone (407) 266-3627

Other identifiers 4

IdentifierTypeStateIssuer
2007525000MedicaidWV
64077654MedicaidKY
100184000MedicaidFL
2478028MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address charles.giangarra@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040617001050 WV Practitioner - Orthopedic Surgery 7214911080 Reassigns benefits to 1 organization
I20130410000113 KY Practitioner - Orthopedic Surgery 7214911080 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME135821FLMDOrthopaedic Surgery Physician
21528WVMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians & Surgeons, Inc. CurrentSince Jan 1, 2020 Accepting new patients
Creighton University Past Accepting new patients
Creighton University Past Accepting new patients

Locations

1448 10th Ave
Ste 304
Huntington, WV 25701
Phone (304) 691-6381

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

1600 Medical Center Dr
Ste G500
Huntington, WV 25701
Phone (304) 691-1262

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1205895000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DR STE G500",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013659",
            "telephone_number": "304-691-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DR STE 1600",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013656",
            "telephone_number": "304-691-1262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9975 Tavistock Lakes Blvd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328277664",
            "country_code": "US",
            "telephone_number": "407-266-3627",
            "fax_number": "407-882-4799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Quadrangle Blvd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "32817",
            "country_code": "US",
            "telephone_number": "407-266-3627",
            "fax_number": "407-882-4799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Quadrangle Blvd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "32817",
            "country_code": "US",
            "telephone_number": "407-266-3627",
            "fax_number": "407-882-4799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Quadrangle Blvd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "32817",
            "country_code": "US",
            "telephone_number": "407-266-3627",
            "fax_number": "407-882-4799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIANGARRA",
        "first_name": "CHARLES",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WV",
            "license": "21528",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME135821",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "WV",
            "license": "21528",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "ME135821",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2007525000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64077654",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100184000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2478028",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charles.giangarra@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1600 Medical Center Dr Ste 1600",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.