Active NPI
Don R Buswell Charkow, MD
- Internal Medicine Physician
- Ocoee, FL
National Provider Identifier
1679557169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME38115
- Practice address
- 11140 W Colonial Dr Ste 1
Ocoee, FL 34761-3300 - Phone
- (407) 877-6500
- Fax
- (321) 203-4612
- NPI assigned
- Nov 30, 2005
- Last updated
- May 19, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME38115 | FL | Primary |
Addresses
Primary practice location
11140 W Colonial Dr Ste 1
Ocoee, FL 34761-3300
Mailing address
11140 W Colonial Dr Ste 1
Ocoee, FL 34761-3300
Phone (407) 877-6500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79601X | Other | FL | BCBS OF FLORIDA |
| 2221373 | Other | FL | AETNA HMO |
| 4071771 | Other | FL | AETNA PPO |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589846400000",
"number": "1679557169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11140 W COLONIAL DR STE 1",
"city": "OCOEE",
"state": "FL",
"postal_code": "347613300",
"telephone_number": "407-877-6500",
"fax_number": "321-203-4612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11140 W COLONIAL DR STE 1",
"city": "OCOEE",
"state": "FL",
"postal_code": "347613300",
"telephone_number": "407-877-6500",
"fax_number": "321-203-4612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSWELL CHARKOW",
"first_name": "DON",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2020-05-19",
"certification_date": "2020-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME38115",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FLORIDA",
"identifier": "79601X",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2221373",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4071771",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocoee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.