Charles J Lastrapes, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO112343 Issued in MO

Practice address

408 S Broadview St
Cape Girardeau, MO 63703-5725

Phone

(573) 332-0808

Fax

(573) 339-7945

NPI assigned

Aug 9, 2005

Last updated

Jun 10, 2011By the provider in NPPES

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 Osteopathy

State licenses

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307664000000",
    "number": "1760483036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 S BROADVIEW ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035725",
            "telephone_number": "573-332-0808",
            "fax_number": "573-339-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 S BROADVIEW ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035725",
            "telephone_number": "573-332-0808",
            "fax_number": "573-339-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASTRAPES",
        "first_name": "CHARLES",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2011-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "DO112343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760483036",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Lang, M.D.
• Jennifer Lang, APN, CNM
• Lana Dalton Lange, PT
• Makenzie Sue Larose, NP
• Daphne Marie Larson
• Laura E. Holmes, M.D., L.L.C.
• Charles E Lavalle, M.D.
• Lee C Lavalle, CRNA
• Matthew Albert Lavalle, MD
• Neil Lavanchy, CRNA

• Family Medicine Physician in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.