Charles E Mader, D.O.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

OS 11309 Issued in FL

Practice address

2015 Magnolia Ave
Pensacola, FL 32503-4932

Phone

(850) 776-7250

NPI assigned

Dec 21, 2005

Last updated

Mar 9, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

Anesthesiology

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ams of Crestview LLCGroup PAC ID 5890944292, 22 clinicians

Ams Anesthetist Services LLCGroup PAC ID 8325298458, 149 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
• North Okaloosa Medical Center Hospital, Crestview, FL, CCN 100122

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Ams Anesthetist Services LLC

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1770834426
  Medicare reassignment Care Compare group NPD
• Ams of Crestview LLC

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1588927982
  Medicare reassignment Care Compare group NPD
• Ams Baptist LLC

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1093020216
  Medicare reassignment NPD
• Ams National LLC

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1316330830
  Medicare reassignment NPD
• Ams of Gulf Breeze LLC

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1376812032
  Medicare reassignment NPD
• Ocala Anesthesia Ams LLC

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1699197343
  Medicare reassignment NPD
• US Anesthesia Partners of Florida Inc.

  dba JLR Anesthesia Assoc

  • Anesthesiology Physician
  • Maitland, FL
  • NPI 1518910520
  Medicare reassignment NPD
• Ahp of Central Florida LLC

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1104064765
  NPD (past)
• Anesthesia Health Care Partners of Florida Inc

  • Anesthesiology Physician
  • Orlando, FL
  • NPI 1518915545
  NPD (past)
• Ft. Walton Beach Anesthesia Services LLC

  • Anesthesiology Physician
  • Fort Walton Beach, FL
  • NPI 1245443829
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Crestview Hospital Company, LLC

  dba North Okaloosa Medical Center

  • General Acute Care Hospital
  • Crestview, FL
  • NPI 1104897859
  Care Compare affiliation
• Sacred Heart Health System, Inc.

  dba Ascension Sacred Heart Pensacola

  • General Acute Care Hospital
  • Pensacola, FL
  • NPI 1922032424
  Care Compare affiliation

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331251200000",
    "number": "1265418214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 MAGNOLIA AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325034932",
            "telephone_number": "850-776-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 MAGNOLIA AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325034932",
            "telephone_number": "850-776-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADER",
        "first_name": "CHARLES",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2012-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "DO-805",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "OS 11309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Gavin Macneil, DO
• Amy L Madden, CRNA
• Meagan Madden
• Rebecca Ann Madden, RN,BSN
• Alexia Mader, MSW
• Lacie Tara Madison, CRNP
• Naga V Rama Krishna Sai Sri Reshma Madupalli, MD
• Alexandra Lee Magaldino, DO
• Guilherme Magalhaes Lins
• Megumi Maguchi Aldrete, M.D.

• Anesthesiology Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.