Active NPI
Charles R Felton, MD
- Pulmonary Disease Physician
- North Conway, NH
National Provider Identifier
1407810351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 6863
- Practice address
- 3073 White Mountain Hwy
Memorial Hospital
North Conway, NH 03860-7101 - Phone
- (603) 356-5461
- Fax
- (603) 356-5877
- NPI assigned
- Apr 16, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 6863 | NH | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 6863 | NH | |
| Pulmonary Disease Physician | 207RP1001X | 6863 | NH | Primary |
| Internal Medicine Physician | 207R00000X | 6863 | NH |
Addresses
Primary practice location
3073 White Mountain Hwy
Memorial Hospital
North Conway, NH 03860-7101
Mailing address
3073 White Mountain Hwy
Memorial Hospital
North Conway, NH 03860-7101
Phone (603) 356-5461
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T400207036 | Other | NH | MEDICARE PTAN |
| 3090824 | Medicaid | NH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6863 | NH | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appledore Medical Group Inc | Internal Medicine | 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": "1145145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457568000000",
"number": "1407810351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3073 WHITE MOUNTAIN HWY",
"address_2": "MEMORIAL HOSPITAL",
"city": "NORTH CONWAY",
"state": "NH",
"postal_code": "038607101",
"telephone_number": "603-356-5461",
"fax_number": "603-356-5877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3073 WHITE MOUNTAIN HWY",
"address_2": "MEMORIAL HOSPITAL",
"city": "NORTH CONWAY",
"state": "NH",
"postal_code": "038607101",
"telephone_number": "603-356-5461",
"fax_number": "603-356-5877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELTON",
"first_name": "CHARLES",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-16",
"last_updated": "2016-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NH",
"license": "6863",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NH",
"license": "6863",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NH",
"license": "6863",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NH",
"license": "6863",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "T400207036",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3090824",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Conway, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.