Charles Easton, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

CE043624 Issued in MI

Practice address

1501 W Chisholm St
Alpena, MI 49707-1401

Phone

(989) 340-1211

Fax

(989) 340-1214

NPI assigned

Aug 24, 2005

Last updated

Jul 30, 2013By the provider in NPPES

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

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Indigo Hospital Medicine - Alpena, PLC

  • Internal Medicine Physician
  • Alpena, MI
  • NPI 1740411461
  NPD (past)
• Indigo Hospital Medicine - Cadillac, PLC

  • Internal Medicine Physician
  • Cadillac, MI
  • NPI 1770734907
  NPD (past)

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1548253545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6514",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496966514",
            "telephone_number": "231-922-9270",
            "fax_number": "231-922-9271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W CHISHOLM ST",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071401",
            "telephone_number": "989-340-1211",
            "fax_number": "989-340-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTON",
        "first_name": "CHARLES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "CE043624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM INDIVIDUAL #",
            "identifier": "2900400781",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4113460",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE #",
            "identifier": "110190089",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "CE043624",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dynamic Dermatology and Skin Cancer Center PC
• Brenda Lee Dziesinski, LMSW
• Monica Rae Dziesinski, PA-C
• Theresa Jay Dziubinski, PT
• Ellen Alexander Eagan, M.A., CCC-SLP
• Ellie Kristin Eaton, PA-C
• Rachel Eaton, LLMSW
• Tiffany Eddinger
• Olivia Eden
• Alisha Edgar, BSW

• Pulmonary Disease Physician in Alpena, MI
• Providers in Alpena, MI by specialty
• Pulmonary Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.