Organization Active NPI

Charles E Ahner M D P a

  • Internal Medicine Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1225397490
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME86298 Issued in FL
Legal business name
CHARLES E AHNER M D P A
Practice address
10333 N Military TRL
Suite a
Palm Beach Gardens, FL 33410-4601
Phone
(561) 630-3696
NPI assigned
May 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2012

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

Authorized official

Name
Dr. Charles E Ahner, MDNPI 1104835628
Title
President
Phone
(561) 630-3696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME86298 FL Primary

Addresses

Primary practice location

10333 N Military TRL
Suite a
Palm Beach Gardens, FL 33410-4601

Mailing address

10333 N Military TRL
Suite a
Palm Beach Gardens, FL 33410-4601
Phone (561) 630-3696

Other identifiers 1

IdentifierTypeStateIssuer
1104835628OtherFLNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120803000365 FL Part B Supplier - Clinic/Group Practice 7113173345 Receives reassigned benefits from 1 practitioner
Practice locations: Stuart, FL

National Provider Directory

National Provider Directory

Locations

25 NE Dixie Hwy
Stuart, FL 34994
Phone (772) 692-9200

10333 N Military Trl
Ste A
West Palm Bch, FL 33410
Phone (561) 630-3696

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1225397490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10333 N MILITARY TRL",
            "address_2": "SUITE A",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104601",
            "telephone_number": "561-630-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10333 N MILITARY TRL",
            "address_2": "SUITE A",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104601",
            "telephone_number": "561-630-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES E AHNER M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "AHNER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-630-3696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME86298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1104835628",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.