Charles Hulett Futrell Jr., D.O.
Individual provider Active NPI Family Medicine Physician · Henderson, KY
NPI 1679751689 · NPPES record last updated Mar 12, 2013
Key facts
- NPI
- 1679751689
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 03076 (KY)
- Practice address
- 110 3Rd St
Suite 250
Henderson, KY 42420-2993 - Phone
- (270) 826-3440
- Fax
- (270) 827-8798
- NPI assigned
- Feb 1, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Deaconess Clinic Inc
Practice addresses (Care Compare)
471 Klutey Park Plaza Dr
Henderson, KY 42420-3347
Phone (270) 830-6100
Hospital & facility affiliations
- Caretenders Home Health of Henderson
- Caresouth HHA Holdings of Winchester, LLC Dba Enhabit Home Health
- St Anthony'S Hospice Inc
- Deaconess Henderson Hospital
- Owensboro Health Regional Hospital
- Deaconess Hospital Inc
- Methodist Hospital Union County
- Baptist Health Deaconess Madisonville
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080612000906 | KY | Practitioner - Family Practice | 0941371215 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Health, Inc. | Family Medicine | Current | Accepting new patients |
| Deaconess Clinic, Inc | Family Medicine | Current | Accepting new patients |
| Deaconess Clinic, Inc | Family Medicine | Current |
Accepting new patients |
| Methodist Health, Inc. | Family Medicine | Current |
Accepting new patients |
| Deaconess Clinic Inc | Family Medicine | Current |
Accepting new patients |
Locations
1413 N Elm St
Ste 204
Henderson, KY 42420
Phone (270) 830-9973
411 Letcher St
Henderson, KY 42420
Phone (270) 830-6522
1305 N Elm St
Ste B
Henderson, KY 42420
Phone (270) 827-7193
1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100
471 Klutey Park Plaza Dr
Henderson, KY 42420
Phone (270) 830-6100
2000 N Elm St
Henderson, KY 42420
Phone (270) 827-3573
1700 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-0031
Interoperability endpoints
- cfutrell209443@direct.deaconess.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 03076 | KY | Yes |
Addresses
Primary practice location
110 3Rd St
Suite 250
Henderson, KY 42420-2993
Mailing address
PO Box 1079
Henderson, KY 42419-1079
Phone (270) 827-0353
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100036260 | Medicaid | KY |
Other providers in Henderson, KY
- Jared Freiburger
- French Therapy Services
- Kendall M French
- Nicole Marijean French
- Bradley Todd Fulkerson
- Elizabeth C Gabbert
- Bradley William Garrett
- Necia Jo Garrett
- Cecelia Garrison
- Vicki Gentry
All providers in Henderson, KY · Family Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.