Charles Glenn Dundas, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

16511 Issued in HI

Practice address

346 Waianuenue Ave
Hilo, HI 96720-2447

Phone

(808) 319-2939

Fax

(808) 935-5095

NPI assigned

Aug 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: charles.dundas@hawaiihie.medicity.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• East Texas Medical Alliance LLP

  • Pediatrics Physician
  • Palestine, TX
  • NPI 1003935172
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1285647826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 WAIANUENUE AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202447",
            "telephone_number": "808-319-2939",
            "fax_number": "808-935-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 WAIANUENUE AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202447",
            "telephone_number": "808-319-2939",
            "fax_number": "808-935-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNDAS",
        "first_name": "CHARLES",
        "middle_name": "GLENN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H5763",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "16511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139971913",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Carl Drumm, LCSW
• Mealiinani Christina Duarte-Hernandez, O.D.
• Robert Michael Duerr, L.AC
• Duke Ann Corporation
• Alexandra Sophia Dulles
• Teresa Dunphy, DO
• Sue Dunwoody, MA
• Adrena Duran
• Mallory Durel
• Selena Reiko May Dye

• Family Medicine Physician in Hilo, HI
• Providers in Hilo, HI by specialty
• Family Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.