Charles Francis Yeagle III, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

41751 Issued in CO

Practice address

400 Benedicta Ave
Suite F
Trinidad, CO 81082-2099

Phone

(719) 846-1700

Fax

(719) 846-1704

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Charles F Yeagle, MD, PC

  • Surgery Physician
  • Trinidad, CO
  • NPI 1952411258
  Authorized official Same address or phone
• North Florida Surgeons, PA

  • Surgery Physician
  • Jacksonville, FL
  • NPI 1912953290
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750491049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BENEDICTA AVE",
            "address_2": "SUITE F",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822099",
            "telephone_number": "719-846-1700",
            "fax_number": "719-846-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BENEDICTA AVE",
            "address_2": "SUITE F",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822099",
            "telephone_number": "719-846-1700",
            "fax_number": "719-846-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEAGLE",
        "first_name": "CHARLES",
        "middle_name": "FRANCIS",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "41751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66104246",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Lee Wilson, DDS
• Lauren Wilson
• Stephanie Wilson, LMT
• Yah Optics LLC
• Yah Vision LLC (Vision Now)
• Miriam Angelica Zenteno-Spencer, LPCC
• Zina Ortiz
• Zoom Medicaid Transportation LLC

• Surgery Physician in Trinidad, CO
• Providers in Trinidad, CO by specialty
• Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.