Charlotte L Metzler, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD00027749 Issued in WA

Practice address

4407 Fairmount Ave
Port Angeles, WA 98363-9514

Phone

(360) 457-0760

Fax

(360) 457-0920

NPI assigned

Aug 30, 2005

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Silver Falls Dermatology, LLC

  • Dermatology Physician
  • Salem, OR
  • NPI 1134375421
  NPD (past)

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1548253198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 FAIRMOUNT AVE",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983639514",
            "telephone_number": "360-457-0760",
            "fax_number": "360-457-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 FAIRMOUNT AVE",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983639514",
            "telephone_number": "360-457-0760",
            "fax_number": "360-457-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZLER",
        "first_name": "CHARLOTTE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD00027749",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "WA",
            "license": "MD00027749",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karin Memmer, BA PSYC
• Gregory Meneely
• Rebecca Judy Mermod, COTA
• Scott Michael Mess, RPH
• Molly Dawn Messmer, LMT
• Barbara Meyer, CDP
• Kimberly Jane Miles
• Sarah Noelle Miller-Haughton
• Amy J Miller, PA
• Anjenne Miller

• Dermatology Physician in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Dermatology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.