Charles W. Reyes, M D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

11189 Issued in WV

Practice address

1212 Garfield Ave
Ste 202
Parkersburg, WV 26101-3247

Phone

(304) 865-3640

Fax

(304) 865-3700

NPI assigned

Nov 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Flagged The directory lists this NPI on an HHS exclusion list. 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 and National Provider Directory roles.

• Hospitalist Medicine Physicians of Wood County, PLLC

  • Internal Medicine Physician
  • Parkersburg, WV
  • NPI 1568402949
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427068800000",
    "number": "1629148432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 GARFIELD AVE",
            "address_2": "SUITE 300",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261013247",
            "telephone_number": "304-865-3600",
            "fax_number": "304-865-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 GARFIELD AVE",
            "address_2": "STE 202",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261013247",
            "telephone_number": "304-865-3640",
            "fax_number": "304-865-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "CHARLES",
        "middle_name": "W.",
        "credential": "M D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2015-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-05-4845R",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "11189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0556045",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084123000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEIN",
            "identifier": "200408843",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "550637845",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Christian Retzinger, M.D.
• Sharon Kay Reuter
• Leatha Rexroad
• Patricia Lynn Rexroad
• Crystal Dawn Reyelts, MD
• Barbara Deloris Reynolds, LPN
• Katharine Michelle Reynolds, LPN
• Laura Reynolds, LMT
• Destiny Rhodes
• Lakrisa Rhodes, AMAP

• Internal Medicine Physician in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• Internal Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.