Charles O. Mbanefo, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

35-05-1577M Issued in OH

Legal business name

CHARLES O. MBANEFO, MD

Practice address

11201 Shaker Blvd
Suite 130
Cleveland, OH 44104-3869

Phone

(216) 368-5687

Fax

(216) 368-5623

NPI assigned

Oct 18, 2007

Last updated

Oct 18, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles O. Mbanefo, MDNPI 1881720886

Title

Owner

Phone

(216) 368-5687

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Mbanefo, M.D MRCP

  • Nephrology Physician
  • Cleveland, OH
  • NPI 1881720886
  NPD (past) Authorized official

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1356530943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 SHAKER BLVD",
            "address_2": "SUITE 130",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441043869",
            "telephone_number": "216-368-5687",
            "fax_number": "216-368-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 SHAKER BLVD",
            "address_2": "SUITE 130",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441043869",
            "telephone_number": "216-368-5687",
            "fax_number": "216-368-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES O. MBANEFO, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "MBANEFO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-368-5687",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35-05-1577M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darla Michele Character-Johnson, CDCA
• Ashley N. Charalambous, PA-C
• Kashish K Charania
• Raghid Charara, MD
• Ashley Elizabeth Charek, APRN
• Amber Safika Charles
• Arlene Elizabeth Charles
• Breanna Lynn Charles, APRN-CPNP
• Jillian Blair Charles, NP-C
• Phillip Edward Charles, MBBS

• Specialist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.

Verify at the official NPI Registry.