Active NPI
Charles Edgar McGovern, M.D.
- Family Medicine Physician
- Batesville, IN
National Provider Identifier
1629041983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01035283A
- Practice address
- 1033 State Road 229
Batesville, IN 47006-6808 - Phone
- (812) 934-6400
- Fax
- (812) 934-6330
- NPI assigned
- Feb 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01035283A | IN | Primary |
Addresses
Primary practice location
1033 State Road 229
Batesville, IN 47006-6808
Mailing address
1033 State Road 229
Batesville, IN 47006-6808
Phone (812) 934-6400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100211890A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01035283A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205193600000",
"number": "1629041983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1033 STATE ROAD 229",
"city": "BATESVILLE",
"state": "IN",
"postal_code": "470066808",
"telephone_number": "812-934-6400",
"fax_number": "812-934-6330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1033 STATE ROAD 229",
"city": "BATESVILLE",
"state": "IN",
"postal_code": "470066808",
"telephone_number": "812-934-6400",
"fax_number": "812-934-6330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOVERN",
"first_name": "CHARLES",
"middle_name": "EDGAR",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2008-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01035283A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100211890A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Batesville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.