Active NPI
Charity Muthoni Finucane Bowcher, MD
- Pediatrics Physician
- Ormond Beach, FL
National Provider Identifier
1326013350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 65822
- Practice address
- 1688 W Granada Blvd
#2B
Ormond Beach, FL 32174 - Phone
- (386) 677-3530
- Fax
- (386) 673-1933
- NPI assigned
- Feb 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 65822 | FL | Primary |
| Pediatrics Physician | 208000000X | ME65822 | FL |
Addresses
Primary practice location
1688 W Granada Blvd
#2B
Ormond Beach, FL 32174
Mailing address
4138 Brookmyra Drive
Orlando, FL 32837
Phone (386) 679-1114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 375434101 | Medicaid | FL |
Other names 1
- Charity Muthon Finucane
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65822 | FL | MD | Pediatrics Physician |
| ME65822 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Funcoast Pediatrics PA | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Ormond Beach, FL
- NPI 1518911569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326013350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4138 BROOKMYRA DRIVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32837",
"telephone_number": "386-679-1114",
"fax_number": "407-826-4136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1688 W GRANADA BLVD",
"address_2": "#2B",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "32174",
"telephone_number": "386-677-3530",
"fax_number": "386-673-1933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINUCANE BOWCHER",
"first_name": "CHARITY",
"middle_name": "MUTHONI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "65822",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME65822",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "375434101",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHARITY",
"last_name": "FINUCANE",
"middle_name": "MUTHON",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.