Charles William Schildecker, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME 31641 Issued in FL

Practice address

401 Downing St
New Smyrna Beach, FL 32168-7109

Phone

(386) 428-3243

Fax

(386) 428-9929

NPI assigned

Jun 29, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Bert Fish Medical Center Inc

  • General Acute Care Hospital
  • New Smyrna Beach, FL
  • NPI 1245275734
  NPD (past)
• Southeast Volusia Medical Services Inc

  • Surgery Physician
  • New Smyrna Beach, FL
  • NPI 1104868876
  NPD (past)
• Yvonne D Duffe DO PA

  • Family Medicine Physician
  • New Smyrna Beach, FL
  • NPI 1740351550
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1467480301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 DOWNING ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687109",
            "telephone_number": "386-428-3243",
            "fax_number": "386-428-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 DOWNING ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687109",
            "telephone_number": "386-428-3243",
            "fax_number": "386-428-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILDECKER",
        "first_name": "CHARLES",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 31641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon Steven Samples, D.C.
• Alberto Sanchez-Torres, DMD
• Sanjay Sastry MD PA
• Thomas R. Saunders, PH.D.
• Renee Schafer, APRN
• Tamara Valencia Schilsky, APRN
• Gayle Schmidt, LCSW
• Pamela Lawawen Scott, APRN FNP-BC
• Seaside Chiropractic House Calls
• Seaside Counseling, LLC

• Internal Medicine Physician in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.