Charles P House Sr., DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34-007179 Issued in OH

Practice address

420 W McPherson Hwy
Clyde, OH 43410-1133

Phone

(419) 547-0584

Fax

(419) 547-8918

NPI assigned

Mar 15, 2006

Sex

Male

Sole proprietor

Yes

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.

• Magruder Medical Group LTD

  • Family Medicine Physician
  • Port Clinton, OH
  • NPI 1871015578

  Family Medicine, OH

  Medicare reassignment Care Compare group NPD
• Charles P House Sr DO

  • Family Medicine Physician
  • Clyde, OH
  • NPI 1497724140

  Family Medicine

  NPD (past) Authorized official
• Charles P House Sr. D.O. Inc

  • Family Medicine Physician
  • Bellevue, OH
  • NPI 1750483152

  Family Medicine

  NPD (past) Authorized official
• Wakeman Area Family Care Center

  • Family Medicine Physician
  • Wakeman, OH
  • NPI 1447201470

  Family Medicine

  NPD (past)
• MCR Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Parrish, FL
  • NPI 1255376000

  Family Medicine

  NPD (past)
• Sebring Hospital Management Associates LLC

  • General Acute Care Hospital
  • Sebring, FL
  • NPI 1952344772
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Firelands Regional Medical Center

  • Home Health Agency
  • Sandusky, OH
  • NPI 1134117849
  Care Compare affiliation
• Great Lakes Home Health Ohio 1, LLC

  • Home Health Agency
  • Toledo, OH
  • NPI 1326478876
  Care Compare affiliation
• H.B. Magruder Memorial Hospital

  • Critical Access Hospital
  • Port Clinton, OH
  • NPI 1922079532

  Hospital

  Care Compare affiliation
• Memorial Hospital

  • General Acute Care Hospital
  • Fremont, OH
  • NPI 1851338149

  Hospital

  Care Compare affiliation
• Ohioans Home Healthcare, Inc

  • Home Health Agency
  • Perrysburg, OH
  • NPI 1093836546
  Care Compare affiliation
• The Bellevue Hospital

  • General Acute Care Hospital
  • Bellevue, OH
  • NPI 1134161623

  Hospital

  Care Compare affiliation

Specialty

General Practice

Education

University of New England, College of Osteo Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Magruder Medical Group LTD 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elara Caring Home health agency, Toledo, OH, CCN 367730
• Ohioans Home Healthcare, Inc Home health agency, Perrysburg, OH, CCN 368247
• FRMC Home Health Services Home health agency, Sandusky, OH, CCN 367691
• Magruder Hospital Hospital, Port Clinton, OH, CCN 361314
• Bellevue Hospital Hospital, Bellevue, OH, CCN 360107
• Memorial Hospital Hospital, Fremont, OH, CCN 360156

Merit-based Incentive Payment System (MIPS)

Final score

76.49 of 100Reported as group

Quality

55.95

Promoting interoperability

89

Improvement activities

40

Cost

74.86

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 23, 2009.

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258934400000",
    "number": "1225007016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 179",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "448110179",
            "telephone_number": "440-274-5000",
            "fax_number": "440-716-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W MCPHERSON HWY",
            "city": "CLYDE",
            "state": "OH",
            "postal_code": "434101133",
            "telephone_number": "419-547-0584",
            "fax_number": "419-547-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSE",
        "first_name": "CHARLES",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2009-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-007179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000351615",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "20711612",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONWIDE HEALTH PLAN",
            "identifier": "58182",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00180079",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "04663",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2158472",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Lynn Hohler
• Victoria Ann Holmes, COTAL
• Misty M Homler
• Eva Jean Hooven, RN
• Karen Horn, RN
• Matthew Indoe
• Denae James
• Cynthia Jeanne Jewett, MA OTR L
• Jessica Knallay
• Joseph Robert Kovach, COTAL

• All providers in Clyde, OH
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.