Organization Active NPI

Charles Karesh Nursing Home Service

  • Family Medicine Physician
  • Rockville, MD
National Provider Identifier
1750672978
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0021726 Issued in MD
Legal business name
CHARLES KARESH NURSING HOME SERVICE
Practice address
9701 Veirs Dr
Rockville, MD 20850-3414
Phone
(301) 482-0130
NPI assigned
Apr 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Authorized official

Name
Dr. Charles W Karesh, MD
Title
Physician
Phone
(240) 949-4886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X D0021726 MD Primary

Addresses

Primary practice location

9701 Veirs Dr
Rockville, MD 20850-3414

Mailing address

12154 Darnestown Rd
Ste 625
Gaithersburg, MD 20878-2206
Phone (240) 949-4886

National Provider Directory

National Provider Directory

Locations

12154 Darnestown Rd
Gaithersburg, MD 20878
Phone (301) 926-7666

NPI Registry JSON

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1750672978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12154 DARNESTOWN RD",
            "address_2": "STE 625",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782206",
            "telephone_number": "240-949-4886",
            "fax_number": "240-252-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 VEIRS DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503414",
            "telephone_number": "301-482-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES KARESH NURSING HOME SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "KARESH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "240-949-4886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0021726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.