Active NPI
Charles V Nye Jr., M.D.
- Anesthesiology Physician
- East Saint Louis, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Practice address
- 129 N 8TH St
East Saint Louis, IL 62201-2917 - Phone
- (618) 482-7158
- NPI assigned
- Aug 22, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | IL | Primary |
Addresses
Primary practice location
129 N 8TH St
East Saint Louis, IL 62201-2917
Mailing address
388 N Ridge Rd
Columbia, IL 62236-1960
Phone (618) 558-3435
Other names 1
- Charles V Nye Jr.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Saint Louis University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
277 Pleasant St
Suite 240
Fall River, MA 02721-3005
Phone (508) 676-3292
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036097165 | IL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prima Care, PC | Current | Accepting new patients | |
| Prima Care, PC | Current | Accepting new patients | |
| Surgicenter Anesthesia Associates, LLC | Anesthesiology | Current | Accepting new patients |
| Pamella S Gronemeyer | Past | Accepting new patients | |
| SSM Health Care St. Louis | Past | Accepting new patients | |
| Specialists in Anesthesia PC | Anesthesiology | Past | Accepting new patients |
Locations
272 Stanley St
Fall River, MA 02720
Phone (508) 672-2290
277 Pleasant St
Fl 4
Fall River, MA 02721
Phone 50867632921244
277 Pleasant St
Ste 240
Fall River, MA 02721
Phone (500) 300-3271
67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400
Organizations & group practices 6
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.
-
- Clinic/Center
- Fall River, MA
- NPI 1265422596
-
- Orthopaedic Surgery Physician
- Fall River, MA
- NPI 1194587287
-
- Anesthesiology Physician
- Fall River, MA
- NPI 1477590883
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1689619280
-
dba SSM Health St. Joseph Hospital - St. Charles Physician Billing
- Emergency Medicine Physician
- Saint Charles, MO
- NPI 1427002922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225144348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "388 N RIDGE RD",
"city": "COLUMBIA",
"state": "IL",
"postal_code": "622361960",
"telephone_number": "618-558-3435",
"fax_number": "618-281-3435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 N 8TH ST",
"city": "EAST SAINT LOUIS",
"state": "IL",
"postal_code": "622012917",
"telephone_number": "618-482-7158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NYE",
"first_name": "CHARLES",
"middle_name": "V",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHARLES",
"last_name": "NYE",
"middle_name": "V",
"suffix": "JR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in East Saint Louis, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.