Active NPI
Charles W Webb, MD
- Emergency Medicine Physician
- Traverse City, MI
National Provider Identifier
1417046772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4301030081
- Practice address
- 550 Munson Ave
Traverse City, MI 49686-3580 - Phone
- (231) 935-8685
- NPI assigned
- Oct 12, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301030081 | MI | Primary |
Addresses
Primary practice location
550 Munson Ave
Traverse City, MI 49686-3580
Mailing address
550 Munson Ave
Traverse City, MI 49686-3580
Phone (231) 935-8685
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3341783 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1417046772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 MUNSON AVE",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496863580",
"telephone_number": "231-935-8685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 MUNSON AVE",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496863580",
"telephone_number": "231-935-8685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBB",
"first_name": "CHARLES",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301030081",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3341783",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.