Samuel G Charles, D.C.

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

S01301 Issued in MD

Practice address

139 E Main St
Elkton, MD 21921-5932

Phone

(410) 398-2108

Fax

(410) 398-1460

NPI assigned

May 16, 2006

Last updated

Sep 19, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Elkton Chiropractic Neurology

  • Neurology Chiropractor
  • Elkton, MD
  • NPI 1841560943
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1265484547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 E MAIN ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215932",
            "telephone_number": "410-398-2108",
            "fax_number": "410-398-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 E MAIN ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215932",
            "telephone_number": "410-398-2108",
            "fax_number": "410-398-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "SAMUEL",
        "middle_name": "G",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "MD",
            "license": "S01301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Interventional Pain Spine LLC
• Centers for Advanced Orthopaedics, LLC
• Helen Chang-Deguzman, M.D.
• Melanie Meiling Chang, ATC, PTA, CSCS, MA
• Changing Tides Therapeutic & Consultative Services, LLC
• Cheapeake Behavioral Health PA
• Cherian & Ganta Dental Associates, LLC (Delmarva Center for Dental Excellence)
• Chesapeake Bay Surgery Center, LLC
• Chesapeake Bone and Joint Center, LLC
• Chesapeake ENT/Plastic Facial Surgery

• Neurology Chiropractor in Elkton, MD
• Providers in Elkton, MD by specialty
• Neurology Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.