Semira Charboneau Internal Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SEMIRA CHARBONEAU INTERNAL MEDICINE

Practice address

625 N Monte Vista St
Ada, OK 74820-4613

Phone

(580) 332-4443

Fax

(580) 332-4846

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Semira Charboneau, D.O.

Title

Physician

Phone

(580) 332-4443

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1609914365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 N MONTE VISTA ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204613",
            "telephone_number": "580-332-4443",
            "fax_number": "580-332-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N MONTE VISTA ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204613",
            "telephone_number": "580-332-4443",
            "fax_number": "580-332-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMIRA CHARBONEAU INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "CHARBONEAU",
        "authorized_official_first_name": "SEMIRA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "580-332-4443",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00035275",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Deann Scott, LPN
• Miranda Seal
• Stephanie Leonda Seamster, LPC
• Darlene Seck
• Tom Sellers
• Amanda Serna, LPC CANDIDATE, M.ED
• Pamela Seymour, APRN
• Sharp Minds Mental Health LLC
• Adam Doyle Sharp, MD
• Denise Darnell Sharp, ARNP

• Internal Medicine Physician in Ada, OK
• Providers in Ada, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.