Active NPI
Scott E Charnitsky, PAC
- Medical Physician Assistant
- Houston, TX
National Provider Identifier
1750362539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 000970
- Practice address
- 7707 Fannin
Suite 195
Houston, TX 77054 - Phone
- (713) 797-0045
- Fax
- (713) 797-1821
- NPI assigned
- Nov 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 000970 | CT | Primary |
| Physician Assistant | 363A00000X | TX |
Addresses
Primary practice location
7707 Fannin
Suite 195
Houston, TX 77054
Mailing address
7707 Fannin
Suite 195
Houston, TX 77054
Phone (713) 797-0045
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 230590 | Other | PREFERRED ONE | |
| 290000970CT01 | Other | BLUE CROSS | |
| 2V3628 | Other | HEALTHNET MEDICAID | |
| 2V3628 | Other | HEALTHNET | |
| 090970 | Other | CONNECTICARE |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000970 | CT | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196899200000",
"number": "1750362539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7707 FANNIN",
"address_2": "SUITE 195",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77054",
"telephone_number": "713-797-0045",
"fax_number": "713-797-1821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7707 FANNIN",
"address_2": "SUITE 195",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77054",
"telephone_number": "713-797-0045",
"fax_number": "713-797-1821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARNITSKY",
"first_name": "SCOTT",
"middle_name": "E",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-09",
"last_updated": "2007-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CT",
"license": "000970",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "230590",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "290000970CT01",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET MEDICAID",
"identifier": "2V3628",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2V3628",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "090970",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.