Charles Wade Page, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

K7468 Issued in TX

Practice address

1303 Raguet St
Nacogdoches, TX 75961-4249

Phone

(936) 568-9600

Fax

(936) 568-9621

NPI assigned

May 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Baylor College of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Crockett Medical Center Hospital, Crockett, TX, CCN 451393
• Nacogdoches Memorial Hospital Hospital, Nacogdoches, TX, CCN 450508
• Nacogdoches Medical Center Hospital, Nacogdoches, TX, CCN 450656

Merit-based Incentive Payment System (MIPS)

Final score

84.34 of 100Reported as individual

Quality

82.92

Promoting interoperability

77

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charles.page.1@17347.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/17347/brand/1/csg/1/fhir/r4

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.

• Charles W Page MD PA

  • Surgery Physician
  • Nacogdoches, TX
  • NPI 1306892872
  Medicare reassignment NPD Authorized official
• Jacksonville Surgical Associates, LLP

  • Specialist
  • Dallas, TX
  • NPI 1336103605
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mid Coast Medical Center Crockett Inc

  dba Crockett Medical Center

  • Critical Access Hospital
  • Crockett, TX
  • NPI 1114435260
  Care Compare affiliation
• Nacogdoches County Hospital District

  dba NCHD Memorial Hospital

  • Rural Acute Care Hospital
  • Nacogdoches, TX
  • NPI 1801831748
  Care Compare affiliation
• TH Healthcare, LTD

  dba Nacogdoches Medical Center

  • General Acute Care Hospital
  • Nacogdoches, TX
  • NPI 1700885076
  Care Compare affiliation

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1437104585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 RAGUET ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614249",
            "telephone_number": "936-568-9600",
            "fax_number": "936-568-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 RAGUET ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614249",
            "telephone_number": "936-568-9600",
            "fax_number": "936-568-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "CHARLES",
        "middle_name": "WADE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "K7468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Overturf, M.D.
• Rodolfo Jose Oviedo, MD, FACS, FASMBS
• Joseph Isaiah Owens, CMHC
• Sarah Joy Owens, LPC-S
• Olivia Padgett, LPC-ASSOCIATE
• Matthew Carroll Parker, M.D.
• Jasmine Rakesh Patel
• Prithvi Patel, MS CCC/SLP
• Brooke Alyssa Patterson
• Robert Baldwin Patterson

• Specialist in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.

Verify at the official NPI Registry.