Active NPI
Charles Quartey
- Community Health Worker
- Reynoldsburg, OH
National Provider Identifier
1679918056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- SV364895
- Practice address
- 2837 Shadwell Dr
Reynoldsburg, OH 43068-5041 - Phone
- (614) 516-7287
- NPI assigned
- Apr 30, 2013
- Last updated
- Apr 30, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | SV364895 | OH | Primary |
Addresses
Primary practice location
2837 Shadwell Dr
Reynoldsburg, OH 43068-5041
Mailing address
2837 Shadwell Dr
Reynoldsburg, OH 43068-5041
Phone (614) 516-7207
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SV364895 | OH | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367280000000",
"number": "1679918056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2837 SHADWELL DR",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430685041",
"telephone_number": "614-516-7207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2837 SHADWELL DR",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430685041",
"telephone_number": "614-516-7287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUARTEY",
"first_name": "CHARLES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-30",
"last_updated": "2013-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "OH",
"license": "SV364895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reynoldsburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.