Organization Active NPI

Charles F Palmer MD PC

  • Ophthalmology Physician
  • Greeley, CO
National Provider Identifier
1497941322
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
41332 Issued in CO
Legal business name
CHARLES F PALMER MD PC
Practice address
3400 W 16TH St
Suite P
Greeley, CO 80634-6862
Phone
(970) 351-0999
Fax
(970) 351-0927
NPI assigned
Sep 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Authorized official

Name
Charles Floyd Palmer, M.D.NPI 1215976071
Title
M.D.
Phone
(970) 351-0999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 41332 CO Primary

Addresses

Primary practice location

3400 W 16TH St
Suite P
Greeley, CO 80634-6862

Mailing address

3400 W 16TH St
Suite P
Greeley, CO 80634-6862
Phone (970) 351-0999

Other identifiers 1

IdentifierTypeStateIssuer
81632045MedicaidCO

National Provider Directory

National Provider Directory

Locations

417 Charlotte St
Ste B
Johnstown, CO 80534
Phone (970) 351-0999

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": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1497941322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 W 16TH ST",
            "address_2": "SUITE P",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806346862",
            "telephone_number": "970-351-0999",
            "fax_number": "970-351-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W 16TH ST",
            "address_2": "SUITE P",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806346862",
            "telephone_number": "970-351-0999",
            "fax_number": "970-351-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES F PALMER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "FLOYD",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "970-351-0999",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "41332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81632045",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.