Charles Conrad Pinkerton, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

NH6212 Issued in NH

Practice address

333 Borthwick Ave Ste 305
Portsmouth, NH 03801-7128

Phone

(603) 433-6994

Fax

(603) 433-6995

NPI assigned

Feb 24, 2006

Last updated

Sep 11, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH, ME2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6076/brand/1/csg/1/fhir/r4

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.

• NRHN Rehab Physician Services, Inc

  • Physical Medicine & Rehabilitation Physician
  • Portsmouth, NH
  • NPI 1831436633
  Medicare reassignment NPD
• Penobscot Bay Physicians & Associates

  • Multi-Specialty Clinic/Center
  • Rockport, ME
  • NPI 1497799720
  Medicare reassignment NPD
• Portsmouth Internal Medicine Associates

  • Internal Medicine Physician
  • Portsmouth, NH
  • NPI 1154543593
  NPD (past) Authorized official
• Appledore Medical Group Inc

  dba PRH Hospitalists

  • Hospitalist Physician
  • Portsmouth, NH
  • NPI 1194842898

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1255307773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 ELWYN RD",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015794",
            "telephone_number": "603-431-6112",
            "fax_number": "603-498-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BORTHWICK AVE STE 305",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017128",
            "telephone_number": "603-433-6994",
            "fax_number": "603-433-6995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Borthwick Ave",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038014174",
            "country_code": "US",
            "telephone_number": "603-436-6115",
            "fax_number": "603-433-5567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Glen Cove Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Rockport",
            "state": "ME",
            "postal_code": "048564238",
            "country_code": "US",
            "telephone_number": "207-921-5800",
            "fax_number": "207-921-5322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINKERTON",
        "first_name": "CHARLES",
        "middle_name": "CONRAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "NH6212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00001026",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Piel, M.ED.
• Sandra Elizabeth Pierce-Jordan
• Ceaira J Pierson Bator
• Kelsey Pine
• William Pingree, DMD
• Pinnacle Rehabilitation Network, LLC (Portsmouth Physical Therapy)
• Emily Rose Piro, LICSW
• Victor Stephen Piro, LICSW
• Catherine Evelyn Pisano, MD
• Piscataqua Dental Partners PA

• Internal Medicine Physician in Portsmouth, NH
• Providers in Portsmouth, NH by specialty
• Internal Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.