Charles H. Fohn M.D.P.a.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

CHARLES H. FOHN M.D.P.A.

Practice address

415 Hospital Dr
Camden, AR 71701-4615

Phone

(870) 836-5013

NPI assigned

Aug 7, 2007

Last updated

Jul 3, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles Fohn, M.D.

Title

Chairman

Phone

(870) 836-5013

Specialties & licenses 1

Addresses

Other identifiers 6

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246579200000",
    "number": "1255522967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 HOSPITAL DR",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717014615",
            "telephone_number": "870-836-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 HOSPITAL DR",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717014615",
            "telephone_number": "870-836-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES H. FOHN M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2009-07-03",
        "status": "A",
        "authorized_official_last_name": "FOHN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "870-836-5013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUAL CHOICE",
            "identifier": "13280000000",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51730",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103652002",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "770160901",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "022704754",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103616001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glen D Carlson, LPE
• Erin Carter
• Laporsha Eunece Carter, SLPA
• Natalie Cassell, LPC
• Charles G Pope Odpa
• Michael Chatman
• City of Camden
• Amber Cleveland
• Ashley Denise Coleman
• Russell B. Cooper, DDS

• Surgery Physician in Camden, AR
• Providers in Camden, AR by specialty
• Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2009; 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.