Charles G Maresh, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101027085 Issued in VA

Practice address

51 William B Graham CT
Kilmarnock, VA 22482-3852

Phone

(804) 435-0575

Fax

(804) 435-9017

NPI assigned

Jan 20, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: charles.maresh.1@30182.direct.athenahealth.com

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.

• Long Term Care of Tidewater PC

  • Internal Medicine Physician
  • Norfolk, VA
  • NPI 1033154430
  NPD (past)
• Northern Neck Free Health Clinic

  • Community Health Clinic/Center
  • Kilmarnock, VA
  • NPI 1275790412
  NPD (past)
• The Northern Neck-Middlesex Free Health Clinic, Inc.

  • Primary Care Clinic/Center
  • Kilmarnock, VA
  • NPI 1053520098
  NPD (past)

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1669452090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 WILLIAM B GRAHAM CT",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224823852",
            "telephone_number": "804-435-0575",
            "fax_number": "804-435-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 WILLIAM B GRAHAM CT",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224823852",
            "telephone_number": "804-435-0575",
            "fax_number": "804-435-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARESH",
        "first_name": "CHARLES",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101027085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010139996",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS",
            "identifier": "1669452090",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lighthouse Family Services, Inc.
• Love and Loyalty Home Care LLC
• Love and Loyalty Recruitment Solutions LLC
• Edist Jeems Love, DC
• Annalee Raven Loving, PT
• James A McCoig, MD
• William McConahey III, M.D.
• Kevin J McGrath, MD
• Megan McMahon
• Betty Temples Mill, NURSE PRACTITIONER

• Internal Medicine Physician in Kilmarnock, VA
• Providers in Kilmarnock, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.