Charles Wayne Gates, M.D.

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

0101037916 Issued in VA

Practice address

3360 Emmaus Rd
Harrisonburg, VA 22801-2685

Phone

(540) 433-9399

Fax

(540) 433-1395

NPI assigned

Aug 24, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1649263757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3360 EMMAUS RD",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228012685",
            "telephone_number": "540-433-9399",
            "fax_number": "540-433-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 EMMAUS RD",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228012685",
            "telephone_number": "540-433-9399",
            "fax_number": "540-433-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "CHARLES",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "VA",
            "license": "0101037916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER ID NUMBER",
            "identifier": "462160",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006503403",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kylie Garrety
• Clyde McAlister Garrison III, DDS
• Evan Lane Garrison
• Rebecca Sheffield Gartner
• Robert Allen Garwood, M.D.
• Brittany Nicole Gay, NP
• Frank W Gearing, MD
• Generations Crossing
• Alexandra Campbell Geneser, M.A., PSY.D.
• Gianna Marie Genzale

• Otolaryngology/Facial Plastic Surgery Physician in Harrisonburg, VA
• Providers in Harrisonburg, VA by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.