Organization Active NPI

Charles Haile MD

  • Infectious Disease Physician
  • Towson, MD
National Provider Identifier
1306025838
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
D17008 Issued in MD
Legal business name
CHARLES HAILE MD
Practice address
7600 Osler Dr
Suite 411
Towson, MD 21204-7735
Phone
(410) 337-7097
Fax
(410) 583-8223
NPI assigned
Nov 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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

Authorized official

Name
Mrs. Amy Gonzales
Title
Manager
Phone
(410) 337-7097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X D17008 MD Primary

Addresses

Primary practice location

7600 Osler Dr
Suite 411
Towson, MD 21204-7735

Mailing address

7600 Osler Dr
Suite 411
Towson, MD 21204-7735
Phone (410) 337-7097

Other identifiers 1

IdentifierTypeStateIssuer
344741300MedicaidMD

National Provider Directory

National Provider Directory

Locations

7505 Osler Dr
Ste 404
Towson, MD 21204
Phone (410) 296-6827

7600 Osler Dr
Ste 411
Towson, MD 21204
Phone (410) 296-1464

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1306025838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 OSLER DR",
            "address_2": "SUITE 411",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047735",
            "telephone_number": "410-337-7097",
            "fax_number": "410-583-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 OSLER DR",
            "address_2": "SUITE 411",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047735",
            "telephone_number": "410-337-7097",
            "fax_number": "410-583-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES HAILE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "410-337-7097",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MD",
            "license": "D17008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344741300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.