Charles Anthony II, M.D.

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X

License

ME112414 Issued in FL

Practice address

1901 Dr Martin Luther King Jr St N Ste B
Saint Petersburg, FL 33704-4272

Phone

(727) 820-3223

Fax

(727) 820-3224

NPI assigned

Jun 29, 2010

Last updated

Nov 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charles.anthony.p3@direct.theeyeassociates.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anthony Aesthetics Facial Plastic Surgery, PLLC

  dba Anthony Aesthetics

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • St Petersburg, FL
  • NPI 1780398503
  NPD Authorized official

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1518278142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 DR MARTIN LUTHER KING JR ST N STE B",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337044272",
            "telephone_number": "727-820-3223",
            "fax_number": "727-820-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 DR MARTIN LUTHER KING JR ST N STE B",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337044272",
            "telephone_number": "727-820-3223",
            "fax_number": "727-820-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTHONY",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-29",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME112414",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME112414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anointed Elder Concierge Homemakerand Companion Services LLC
• Anointing Grace Inc.
• Alanis Anson
• Kathleen A Antares, DPT
• Anthony Aesthetics Facial Plastic Surgery, PLLC (Anthony Aesthetics)
• Laura Ida Anthony, LCSW
• Shari Tasha Anthony
• Shana Elizabeth Anton, MD
• Timothy Jay Simuangco Antonio
• Gloria Shafaye Antwi

• Ophthalmic Plastic and Reconstructive Surgery Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Ophthalmic Plastic and Reconstructive Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.