Charles William Doubleday, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

F9375 Issued in TX

Practice address

3 Riverway Ste 200
Houston, TX 77056-1922

Phone

(713) 501-1044

Fax

(713) 627-1782

NPI assigned

May 31, 2005

Sex

Male

Sole proprietor

No

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

Enrolled in TX

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

Specialty

Dermatology

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Harris Health Hospital, Houston, TX, CCN 450289

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Ut Physicians

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1033157821

  Dermatology

  Medicare reassignment Care Compare group NPD
• Ut Physicians

  • Health Educator
  • Houston, TX
  • NPI 1316534472
  NPD
• Clover Family Medicine, PLLC

  • Family Medicine Physician
  • Frisco, TX
  • NPI 1053992008
  NPD (past)
• Sanova Dermatology PLLC

  • Dermatology Physician
  • Austin, TX
  • NPI 1689957169
  NPD (past)
• Suzanne Bruce and Associates, P.a.

  • Dermatology Physician
  • Houston, TX
  • NPI 1598895831
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Harris County Hospital District

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1205900370
  Care Compare affiliation

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686960000000",
    "number": "1508869991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 WYNDEN COMMONS LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770562538",
            "telephone_number": "713-501-1044",
            "fax_number": "713-627-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 RIVERWAY STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770561922",
            "telephone_number": "713-501-1044",
            "fax_number": "713-627-1782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 Legacy Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750341942",
            "country_code": "US",
            "telephone_number": "972-370-7662",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1235 S Main St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Grapevine",
            "state": "TX",
            "postal_code": "760517547",
            "country_code": "US",
            "telephone_number": "817-481-5111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2421 W 7th St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761072393",
            "country_code": "US",
            "telephone_number": "817-439-7662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUBLEDAY",
        "first_name": "CHARLES",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2023-06-17",
        "certification_date": "2023-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "F9375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Anthony Dottino
• Morgen Doty Hool, D.O.
• Nellie Doty, MT-BC
• Samantha Michelle Doty
• Double Daniels, LLC
• Harold James Doucet, PHARMD
• Anne H Dougherty, M.D.
• Carlin Marguerite Dougherty, LPC-A
• Katherine Anne Dougherty, PTA
• Thomas Dougherty

• Dermatology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.