Individual provider Active NPI

Charles H Waltman, PA-C

  • Medical Physician Assistant
  • Sebring, FL
National Provider Identifier
1598805699
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9105528 Issued in FL
Practice address
5115 US Highway 27 N Ste 100
Sebring, FL 33870-1323
Phone
(863) 385-2222
Fax
(863) 382-8765
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9105528 FL Primary

Addresses

Primary practice location

5115 US Highway 27 N Ste 100
Sebring, FL 33870-1323

Mailing address

5115 US Highway 27 N Ste 100
Sebring, FL 33870-1323
Phone (863) 385-2222

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100913000582 FL Practitioner - Physician Assistant 6305961467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Joint and Spine Institute PAGroup PAC ID 0547168114, 13 clinicians

Practice addresses (Care Compare)

5115 US Hwy 27 N
Suite 100
Sebring, FL 33870-1323
Phone (863) 385-2222

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Joint & Spine Institute PA CurrentSince Aug 1, 2010 Accepting new patients

Locations

5115 US 27 N
Ste 100
Sebring, FL 33870
Phone (863) 385-2222

6325 US 27 N
Ste 201
Sebring, FL 33870
Phone (863) 382-9600

Interoperability endpoints

  • Direct secure messaging: charles.waltman@floridajointandspine.directbygreenway.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71998

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1598805699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 US HIGHWAY 27 N STE 100",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701323",
            "telephone_number": "863-385-2222",
            "fax_number": "863-382-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 US HIGHWAY 27 N STE 100",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701323",
            "telephone_number": "863-385-2222",
            "fax_number": "863-382-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTMAN",
        "first_name": "CHARLES",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9105528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

Verify at the official NPI Registry.