Organization Active NPI

Charles E Abrahamsen, MD, PA

  • Specialist
  • Clearwater, FL
National Provider Identifier
1235442195
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME45736 Issued in FL
Legal business name
CHARLES E ABRAHAMSEN, MD, PA
Practice address
1801 N Belcher Rd
Suite B
Clearwater, FL 33765-1452
Phone
(727) 724-6169
Fax
(727) 791-0470
NPI assigned
Jul 21, 2010
Last updated
Jul 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Authorized official

Name
Dr. Charles E Abrahamsen, M.D.NPI 1134101298
Title
President
Phone
(727) 724-6169

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME45736 FL Primary

Addresses

Primary practice location

1801 N Belcher Rd
Suite B
Clearwater, FL 33765-1452

Mailing address

1801 N Belcher Rd
Suite B
Clearwater, FL 33765-1452
Phone (727) 724-6169

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1235442195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N BELCHER RD",
            "address_2": "SUITE B",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651452",
            "telephone_number": "727-724-6169",
            "fax_number": "727-791-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N BELCHER RD",
            "address_2": "SUITE B",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651452",
            "telephone_number": "727-724-6169",
            "fax_number": "727-791-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES E ABRAHAMSEN, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-21",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "ABRAHAMSEN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-724-6169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME45736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.