Active NPI
Charles F. Fatseas, M.D.
- Emergency Medicine Physician
- Sherborn, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 50232
- Practice address
- 51 Bogastow Brook Rd
Sherborn, MA 01770-1262 - Phone
- (508) 733-6611
- Fax
- (508) 653-2953
- NPI assigned
- Jul 17, 2006
- Last updated
- Jun 5, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 50232 | MA | Primary |
Addresses
Primary practice location
51 Bogastow Brook Rd
Sherborn, MA 01770-1262
Mailing address
51 Bogastow Brook Rd
Sherborn, MA 01770-1262
Phone (508) 733-6611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3002314 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Temple University School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1995 Hwy 51 S
Covington, TN 38019-3635
Phone (901) 476-2621
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45266 | TN | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| App of Tennessee Ed, PLLC | Emergency Medicine | Current | Accepting new patients |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Middle Tennessee Emergency Physicians PC | Emergency Medicine | Current | Accepting new patients |
| Newburyport Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Lauderdale Community Hospital LLC | Current | Accepting new patients | |
| Steward Emergency Physicians, Inc | Emergency Medicine | Current | Accepting new patients |
| Lauderdale Community Hospital LLC | Current | Accepting new patients | |
| Emergency Coverage Services, PC | Past | Accepting new patients | |
| Emergency Coverage, LLC | Emergency Medicine | Past | Accepting new patients |
| Churchill Drive Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
Locations
200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000
140 Lincoln Ave
Haverhill, MA 01830
Phone (978) 374-2000
70 East St
Methuen, MA 01844
Phone (978) 682-1906
25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734
88 Washington St
Taunton, MA 02780
Phone (508) 828-7000
907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818
1559 Sparta St
McMinnville, TN 37110
Phone (615) 406-9544
2000 Church St
Nashville, TN 37236
Phone (615) 284-4672
340 Asbury Ave
Ripley, TN 38063
Phone (731) 221-2200
705 E Poplar Ave
Selmer, TN 38375
Phone (731) 645-3221
401 Sewell Dr
Sparta, TN 38583
Phone (931) 738-2164
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/lauderd-6f671ec9
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Emergency Coverage Corporation of TeamHealth
- Family Medicine Physician
- Newport, TN
- NPI 1427005008
Emergency Medicine
-
- Family Medicine Physician
- Lawrence, MA
- NPI 1144544040
-
- Emergency Medicine Physician
- Newburyport, MA
- NPI 1215724364
-
- Emergency Medicine Physician
- Ayer, MA
- NPI 1780971275
-
- Emergency Medicine Physician
- Maryville, TN
- NPI 1003230236
-
dba Lauderdale Community Hospital
- Emergency Care Clinic/Center
- Ripley, TN
- NPI 1962034272
-
- Emergency Medicine Physician
- Nashville, TN
- NPI 1194758979
-
dba Lauderdale Community Hospital
- Medicare Defined Swing Bed Hospital Unit
- Ripley, TN
- NPI 1356973663
-
- Emergency Medicine Physician
- Sparta, TN
- NPI 1932460607
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hardin Medical Center
- General Acute Care Hospital
- Savannah, TN
- NPI 1699754812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244160000000",
"number": "1407874944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 BOGASTOW BROOK RD",
"city": "SHERBORN",
"state": "MA",
"postal_code": "017701262",
"telephone_number": "508-733-6611",
"fax_number": "508-653-2953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 BOGASTOW BROOK RD",
"city": "SHERBORN",
"state": "MA",
"postal_code": "017701262",
"telephone_number": "508-733-6611",
"fax_number": "508-653-2953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FATSEAS",
"first_name": "CHARLES",
"middle_name": "F.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2009-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "50232",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3002314",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sherborn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.