Active NPI
Charles F Palmer MD PC
- Ophthalmology Physician
- Greeley, CO
National Provider Identifier
1497941322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 41332
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles Floyd Palmer, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81632045 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Ophthalmology Physician
- Greeley, CO
- NPI 1215976071
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.