Charles G Todoroff, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

CT039974 Issued in MI

Practice address

1250 E Michigan Ave
Grayling, MI 49738-7074

Phone

(989) 348-0550

Fax

(989) 348-0473

NPI assigned

Sep 6, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Mercy Professional Services

  • Internal Medicine Physician
  • Grayling, MI
  • NPI 1912951468
  NPD
• Indigo Hospital Medicine - Cadillac, PLC

  • Internal Medicine Physician
  • Cadillac, MI
  • NPI 1770734907
  NPD (past)
• Indigo Hospital Medicine - Traverse City, PLC

  • Internal Medicine Physician
  • Traverse City, MI
  • NPI 1124370580
  NPD (past)
• Indigo Services, PLC

  • Hospitalist Physician
  • Traverse City, MI
  • NPI 1790769669

  Internal Medicine

  NPD (past)
• Mercy Hospital Grayling

  dba Mercy Health Cancer Center

  • Hematology & Oncology Physician
  • Grayling, MI
  • NPI 1427489509
  NPD (past)

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1265426209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E MICHIGAN AVE",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497387074",
            "telephone_number": "989-348-0550",
            "fax_number": "989-348-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E MICHIGAN AVE",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497387074",
            "telephone_number": "989-348-0550",
            "fax_number": "989-348-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODOROFF",
        "first_name": "CHARLES",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "CT039974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104989603",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104974146",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Szafranski, MD
• Jeffery Alan Taylor Sr., R.N.
• Teter Orthotics & Prosthetics, Inc
• Jennifer Lynn Thomas, CRNA
• Emma Thompson, PT, DPT
• Kerrie Ann Tramski, RPH.
• Hunter Lee Traver, DC
• Elizabeth Tuner
• Nicole Lynn Vandecasteele, CNM
• Amanda Jean Vannuck

• Internal Medicine Physician in Grayling, MI
• Providers in Grayling, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.