NPIMap

Individual provider Active NPI

Charles Hulett Futrell Jr., D.O.

  • Family Medicine Physician
  • Henderson, KY
National Provider Identifier
1679751689
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
03076 Issued in 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
Last updated
Mar 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 03076 KY Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080612000906 KY Practitioner - Family Practice 0941371215 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Clinic IncGroup PAC ID 3375610116, 411 clinicians

Practice addresses (Care Compare)

471 Klutey Park Plaza Dr
Henderson, KY 42420-3347
Phone (270) 830-6100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
03076KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Clinic Inc Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Methodist Health, Inc. Family Medicine CurrentSince Feb 1, 2025 Accepting new patients
Deaconess Clinic, Inc Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Methodist Health, Inc. Family Medicine Current Accepting new patients
Deaconess Clinic, Inc Family Medicine Current Accepting new patients

Locations

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

1305 N Elm St
Ste B
Henderson, KY 42420
Phone (270) 827-7193

1413 N Elm St
Ste 204
Henderson, KY 42420
Phone (270) 830-9973

2000 N Elm St
Henderson, KY 42420
Phone (270) 827-3573

411 Letcher St
Henderson, KY 42420
Phone (270) 830-6522

471 Klutey Park Plaza Dr
Henderson, KY 42420
Phone (270) 830-6100

1700 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-0031

Interoperability endpoints

  • Direct secure messaging: cfutrell209443@direct.deaconess.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1679751689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1079",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424191079",
            "telephone_number": "270-827-0353",
            "fax_number": "270-827-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 3RD ST",
            "address_2": "SUITE 250",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202993",
            "telephone_number": "270-826-3440",
            "fax_number": "270-827-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUTRELL",
        "first_name": "CHARLES",
        "middle_name": "HULETT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-01",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "03076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, KY

Sources for this page

Verify at the official NPI Registry.