Charles Richard Nixon II, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Practice address

Naval Hospital, Attn Professional Affairs
Box 788250
Twentynine Palms, CA 92278-8250

Phone

(760) 830-2194

NPI assigned

Dec 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Emergency Medicine Physicians of Carteret County, PLLC

  • Emergency Medicine Physician
  • Morehead City, NC
  • NPI 1538108535
  NPD (past)

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1215912092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 788250",
            "address_2": "NAVAL HOSPITAL, ATTN PROFESSIONAL AFFAIRS",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "922788250",
            "telephone_number": "760-830-2194",
            "fax_number": "760-830-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL HOSPITAL, ATTN PROFESSIONAL AFFAIRS",
            "address_2": "BOX 788250",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "922788250",
            "telephone_number": "760-830-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIXON",
        "first_name": "CHARLES",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME 54671",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Anne Naylor, LCSW
• John James Nevin, M.D.
• An Van Nguyen, DDS
• Jack Nguyen
• NH Twentynine Palms
• Osmund Nogra, MD
• Jacob Brownlee Odom, DPT
• Seraphina Oney
• Denice Ornelaz-Perez
• Matthew Osmak, DDS

• Emergency Medicine Physician in Twentynine Palms, CA
• Providers in Twentynine Palms, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.