Individual provider Active NPI

Ernest E Charlesworth, MD

  • Family Medicine Physician
  • Chambersburg, PA
National Provider Identifier
1366448391
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD027138E Issued in PA
Practice address
12 St Paul Dr Ste 203
Chambersburg, PA 17201-1035
Phone
(717) 264-6511
Fax
(717) 264-1081
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD027138E PA Primary

Addresses

Primary practice location

12 St Paul Dr Ste 203
Chambersburg, PA 17201-1035

Mailing address

785 5TH Ave Ste 3
Chambersburg, PA 17201-4232
Phone (717) 263-9555

Other practice location 1

3106 Philadelphia Ave
Chambersburg, PA 17201-8938
Phone (717) 264-3644

Other practice location 2

2 Keefer Dr
Mercersburg, PA 17236-1732
Phone (717) 328-2119

Other practice location 3

46 Walnut Bottom Rd Ste 200
Shippensburg, PA 17257-8219
Phone (717) 532-4148

Other practice location 4

6155 Anthony Hwy
Waynesboro, PA 17268-9718
Phone (717) 749-3181

Other practice location 5

97 Progress Blvd
Shippensburg, PA 17257-9053
Phone (717) 532-4148

Other identifiers 3

IdentifierTypeStateIssuer
102956OtherPAHIGHMARK BLUE SHIELD
000947033MedicaidPA
MD027138EOtherPAMEDICAL LICENSE NUMBER

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD027138EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc 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.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1366448391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 5TH AVE STE 3",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014232",
            "telephone_number": "717-263-9555",
            "fax_number": "717-217-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 ST PAUL DR STE 203",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172011035",
            "telephone_number": "717-264-6511",
            "fax_number": "717-264-1081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3106 Philadelphia Ave",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172018938",
            "country_code": "US",
            "telephone_number": "717-264-3644",
            "fax_number": "717-264-9077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Keefer Dr",
            "address_purpose": "LOCATION",
            "city": "Mercersburg",
            "state": "PA",
            "postal_code": "172361732",
            "country_code": "US",
            "telephone_number": "717-328-2119",
            "fax_number": "717-328-0071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "46 Walnut Bottom Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Shippensburg",
            "state": "PA",
            "postal_code": "172578219",
            "country_code": "US",
            "telephone_number": "717-532-4148",
            "fax_number": "717-532-3561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6155 Anthony Hwy",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172689718",
            "country_code": "US",
            "telephone_number": "717-749-3181",
            "fax_number": "717-749-3191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "97 Progress Blvd",
            "address_purpose": "LOCATION",
            "city": "Shippensburg",
            "state": "PA",
            "postal_code": "172579053",
            "country_code": "US",
            "telephone_number": "717-532-4148",
            "fax_number": "717-532-3561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARLESWORTH",
        "first_name": "ERNEST",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD027138E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "102956",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000947033",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "MD027138E",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.