Active NPI
Charles E Webster, PA
- Medical Physician Assistant
- Homosassa, FL
National Provider Identifier
1295820967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA1866
- Practice address
- 3475 S Suncoast Blvd
Homosassa, FL 34448-2322 - Phone
- (352) 628-7671
- Fax
- (352) 628-9893
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA1866 | FL | Primary |
Addresses
Primary practice location
3475 S Suncoast Blvd
Homosassa, FL 34448-2322
Mailing address
3475 S Suncoast Blvd
Homosassa, FL 34448-2322
Phone (352) 628-7671
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060476301 | Medicaid | FL | |
| 591842276001 | Other | FL | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Urology Institute, LLC | Past | Accepting new patients | |
| Advanced Urology Institute, LLC | Past | Accepting new patients | |
| Citrus Urology Associates P a | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Durable Medical Equipment & Medical Supplies
- Inverness, FL
- NPI 1700024163
-
- Non-Pharmacy Dispensing Site
- Largo, FL
- NPI 1841474228
-
- Urology Physician
- Homosassa, FL
- NPI 1821060401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213056000000",
"number": "1295820967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3475 S SUNCOAST BLVD",
"city": "HOMOSASSA",
"state": "FL",
"postal_code": "344482322",
"telephone_number": "352-628-7671",
"fax_number": "352-628-9893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3475 S SUNCOAST BLVD",
"city": "HOMOSASSA",
"state": "FL",
"postal_code": "344482322",
"telephone_number": "352-628-7671",
"fax_number": "352-628-9893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBSTER",
"first_name": "CHARLES",
"middle_name": "E",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2008-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA1866",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "060476301",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "591842276001",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Homosassa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.