Individual provider Active NPI

Charles Lee Payne II, D.O.

  • Internal Medicine Physician
  • East Liverpool, OH
National Provider Identifier
1699966622
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34.009235 Issued in OH
Practice address
425 W Fifth St
East Liverpool, OH 43920-2405
Phone
(330) 385-7200
NPI assigned
Aug 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34.009235 OH
Internal Medicine Physician 207R00000X 34.009235 OH Primary

Addresses

Primary practice location

425 W Fifth St
East Liverpool, OH 43920-2405

Mailing address

PO Box 645409
Pittsburgh, PA 15264-5252
Phone (330) 386-6442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091111000579 OH Practitioner - Emergency MedicinePractitioner - Internal Medicine 5698813665 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
River Valley Physicians LLCGroup PAC ID 3971506932, 56 clinicians

Practice addresses (Care Compare)

425 W 5TH St
East Liverpool, OH 43920-2405
Phone (330) 385-2926

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.009235OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
4M Hospitalist Services, LLC Internal Medicine CurrentSince Jul 20, 2015 Accepting new patients
River Valley Physicians, LLC CurrentSince Mar 8, 2017 Accepting new patients
Hles of Ohio, Inc. Emergency Medicine CurrentSince Sep 13, 2022 Accepting new patients
Columbiana Emergency Physicians LLC Emergency Medicine CurrentSince Dec 4, 2018 Accepting new patients
Hles of Ohio Inc Emergency Medicine CurrentSince Sep 13, 2022 Accepting new patients
Tri- State Emergency Physicians Inc Emergency Medicine Past Accepting new patients
Openloop Healthcare Partners PC Past Accepting new patients

Locations

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

15655 State Route 170
Ste B
East Liverpool, OH 43920
Phone (330) 386-3610

425 W 5th St
East Liverpool, OH 43920
Phone (330) 385-7200

15655 State Route 170
Ste H
East Liverpool, OH 43920
Phone (330) 932-0183

139 N Walnut St
East Palestine, OH 44413
Phone (330) 362-4920

3557 Embassy Pkwy
Fairlawn, OH 44333
Phone (330) 670-1005

4000 Johnson Rd
Wintersville, OH 43952
Phone (740) 264-8011

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBJFBA
  • Direct secure messaging: cpayne@medcaregroup.medentdirect.com

Organizations & group practices 8

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

Hospital & facility affiliations 1

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": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1699966622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 645409",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152645252",
            "telephone_number": "330-386-6442",
            "fax_number": "330-386-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W FIFTH ST",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439202405",
            "telephone_number": "330-385-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "CHARLES",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.009235",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.009235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Liverpool, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.