Individual provider Active NPI

Don R Buswell Charkow, MD

  • Internal Medicine Physician
  • Ocoee, FL
National Provider Identifier
1679557169
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME38115 Issued in FL
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
79601XOtherFLBCBS OF FLORIDA
2221373OtherFLAETNA HMO
4071771OtherFLAETNA 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.

Verify at the official NPI Registry.