Organization Active NPI

Padmini Charles MD PC

  • Family Medicine Physician
  • Festus, MO
National Provider Identifier
1447407069
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R6353 Issued in MO
Legal business name
PADMINI CHARLES MD PC
Practice address
1400 Highway 61
JMH Moc G40
Festus, MO 63028-4100
Phone
(636) 937-8989
Fax
(636) 933-2962
NPI assigned
Aug 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Authorized official

Name
Ms. Padmini Charles, M.D., P.C.
Title
President
Phone
(636) 937-8989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X R6353 MO Primary

Addresses

Primary practice location

1400 Highway 61
JMH Moc G40
Festus, MO 63028-4100

Mailing address

1400 Hwy 61 South G60
JMH Moc South
Festus, MO 63028-4143
Phone (636) 937-8989

Other identifiers 1

IdentifierTypeStateIssuer
200335107MedicaidMO

National Provider Directory

National Provider Directory

Locations

180 Industrial Dr
Crystal Cty, MO 63028
Phone (636) 937-1232

1400 US Highway 61
Ste G60
Crystal Cty, MO 63028

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1447407069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 HWY 61 SOUTH G60",
            "address_2": "JMH MOC SOUTH",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284143",
            "telephone_number": "636-937-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HIGHWAY 61",
            "address_2": "JMH MOC G40",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284100",
            "telephone_number": "636-937-8989",
            "fax_number": "636-933-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADMINI CHARLES MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "PADMINI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-937-8989",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D., P.C."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R6353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200335107",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Festus, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.