Charlene T. Deluca, MD, PA

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

ME94900 Issued in FL

Legal business name

CHARLENE T. DELUCA, MD, PA

Practice address

6101 Pine Ridge Rd
Naples, FL 34119-3900

Phone

(239) 537-9037

NPI assigned

Mar 8, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Charlene T. Deluca, MD

Title

President

Phone

(239) 537-9037

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1225302201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6017 PINE RIDGE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193956",
            "telephone_number": "239-537-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 PINE RIDGE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193900",
            "telephone_number": "239-537-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLENE T. DELUCA, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "DELUCA",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-537-9037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME94900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002507100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002753800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF FLORIDA",
            "identifier": "56401",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF FLORIDA",
            "identifier": "Y04QU",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Suzon Chappell, M.D.
• Olga Lidia Chappotin
• Wende Anne Charde-St.George, LMHC
• Elizabeth Anne Charif, PA-C
• Charina Yango-Cadavos LLC
• Kerlange Charles - Alsaindor, PMHNP-BC
• Charles Richard Underwood MD PLLC
• Chloe Bella Charles, RMHCI
• Spencer Charles, PHLEBOTOMIST
• Nihcole Christina Chartier, M.S., OTR/L

• Hospitalist Physician in Naples, FL
• Providers in Naples, FL by specialty
• Hospitalist Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.