John Charlton Podiatry PA

Primary specialty

PodiatristTaxonomy code 213E00000X

License

MD01077 Issued in MD

Legal business name

JOHN CHARLTON PODIATRY PA

Practice address

5013 Roland Ave
Baltimore, MD 21210-2295

Phone

(410) 433-1122

Fax

(410) 433-1122

NPI assigned

Jan 21, 2011

Last updated

Jan 21, 2011By 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

John L Charlton III, DPMNPI 1932205994

Title

President

Phone

(410) 433-1122

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

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.

• John L Charlton III, DPM

  • Podiatrist
  • Baltimore, MD
  • NPI 1932205994
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295568000000",
    "number": "1427353408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5013 ROLAND AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102295",
            "telephone_number": "410-433-1122",
            "fax_number": "410-433-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5013 ROLAND AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102295",
            "telephone_number": "410-433-1122",
            "fax_number": "410-433-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN CHARLTON PODIATRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-21",
        "status": "A",
        "authorized_official_last_name": "CHARLTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-433-1122",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "MD01077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "480033528",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAID",
            "identifier": "10227357",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0906085",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CFBC/BS",
            "identifier": "1932205994/W299",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC/BS",
            "identifier": "T304/1932205994",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Podiatrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.