Charles R Schallop MD P a

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0059068 Issued in FL

Legal business name

CHARLES R SCHALLOP MD P A

Practice address

500 University Blvd
Suite 200
Jupiter, FL 33458-2773

Phone

(561) 630-6939

Fax

(561) 630-9221

NPI assigned

May 21, 2008

Organization subpart

No

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

Authorized official

Name

Charles R Schallop, M.D.NPI 1255492427

Title

President

Phone

(561) 630-6939

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Charles R. Schallop, M.D.

  • Specialist
  • Jupiter, FL
  • NPI 1255492427
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1235396789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30308",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334200308",
            "telephone_number": "561-630-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY BLVD",
            "address_2": "SUITE 200",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582773",
            "telephone_number": "561-630-6939",
            "fax_number": "561-630-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES R SCHALLOP MD P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "SCHALLOP",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-630-6939",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0059068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055367100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tatiana Alexandra Chandler, PA-C
• Michelle Chaney, M.D.
• Jovante Chapman
• Christopher P Chaprnka, OTRL
• Charles Eaton MD PA
• Jhonson Chatelain
• Travis Chazon
• Cheryl Anne Checkers, LMHC
• Kelly Denise Cheek, DNP, APRN, FNP-C
• Hannah Marie Chenoweth

• Specialist in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.