Charles Kenji Carragher, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9106937 Issued in FL

Practice address

5147 N 9TH Ave
Suite 322
Pensacola, FL 32504-8771

Phone

(850) 474-9995

Fax

(850) 477-6021

NPI assigned

Feb 15, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360886400000",
    "number": "1518207331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5548 CHARBAR DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325266502",
            "telephone_number": "850-474-9995",
            "fax_number": "850-477-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5147 N 9TH AVE",
            "address_2": "SUITE 322",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048771",
            "telephone_number": "850-474-9995",
            "fax_number": "850-477-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRAGHER",
        "first_name": "CHARLES",
        "middle_name": "KENJI",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-15",
        "last_updated": "2013-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9106937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Morgan Carr, ARNP
• Kayla Marie Carr, PHARMD
• Margaret Eula Thompson Carr, LMHC
• Melissa Carr
• Pamela Carr, LCSW
• Jennifer L Carrancejie
• Gabriela Carrara, MD
• Devin Casey Carrillo, DC
• Cynthia E Carroll-Holoway, ARNP
• Allison Carroll, OTR

• Surgical Physician Assistant in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; 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.