Charles A Gaputis, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO192 Issued in AL

Practice address

16053 Highway 72
Rogersville, AL 35652-8141

Phone

(256) 247-0093

Fax

(256) 247-5289

NPI assigned

Nov 22, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Ecm Health Group LLC

  • Obstetrics & Gynecology Physician
  • Florence, AL
  • NPI 1346588852
  Medicare reassignment NPD

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1437132685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 401",
            "city": "ROGERSVILLE",
            "state": "AL",
            "postal_code": "356520401",
            "telephone_number": "256-247-0093",
            "fax_number": "256-247-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16053 HIGHWAY 72",
            "city": "ROGERSVILLE",
            "state": "AL",
            "postal_code": "356528141",
            "telephone_number": "256-247-0093",
            "fax_number": "256-247-5289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAPUTIS",
        "first_name": "CHARLES",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000082163",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elk River Chiropractic Clinic, P.a., P.C.
• Family Care First, Inc.
• Family Health Care Clinic, Inc.
• David Wayne Frye
• Rebecca Maria Gaines, N.P.
• Michelle Hope Hagan, CRNP
• Alex David Harper, DDS
• Stephanie S Harrison, LPC
• Rachel Higginbotham, PHARMD
• Homegrown Pediatrics LLC

• Family Medicine Physician in Rogersville, AL
• Providers in Rogersville, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.