Active NPI
Charles R Oberst, M.D,
- Specialist
- Louisville, KY
National Provider Identifier
1720324882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 13020
- Practice address
- 3002 Danes Hall CT
Louisville, KY 40206-2905 - Phone
- (502) 893-5843
- Fax
- (502) 897-6062
- NPI assigned
- Dec 18, 2012
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 13020 | KY | Primary |
Addresses
Primary practice location
3002 Danes Hall CT
Louisville, KY 40206-2905
Mailing address
3002 Danes Hall CT
Louisville, KY 40206-2905
Phone (502) 893-5843
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13020 | KY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355788800000",
"number": "1720324882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3002 DANES HALL CT",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402062905",
"telephone_number": "502-893-5843",
"fax_number": "502-897-6062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3002 DANES HALL CT",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402062905",
"telephone_number": "502-893-5843",
"fax_number": "502-897-6062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBERST",
"first_name": "CHARLES",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-12-18",
"last_updated": "2012-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KY",
"license": "13020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.