Individual provider Active NPI

Charles C Falzon, M.D.

  • Family Medicine Physician
  • Seattle, WA
National Provider Identifier
1780655001
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60837506 Issued in WA
Practice address
5608 17TH Ave NW Ste 1763
Seattle, WA 98107-5232
Phone
(206) 773-7050
NPI assigned
Jan 27, 2006
Reactivated
Jul 28, 2023
Last updated
Dec 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036138996 IL
Family Medicine Physician 207Q00000X 4301106290 MI
Family Medicine Physician 207Q00000X MD60837506 WA Primary
General Practice Physician 208D00000X C1-0007823 DE

Addresses

Primary practice location

5608 17TH Ave NW Ste 1763
Seattle, WA 98107-5232

Mailing address

5608 17TH Ave NW Ste 1763
Seattle, WA 98107-5232
Phone (206) 773-7050

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C1-0007823DEMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1780655001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5608 17TH AVE NW STE 1763",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981075232",
            "telephone_number": "206-773-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5608 17TH AVE NW STE 1763",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981075232",
            "telephone_number": "206-773-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALZON",
        "first_name": "CHARLES",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "deactivation_date": "2022-03-23",
        "reactivation_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036138996",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301106290",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60837506",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "DE",
            "license": "C1-0007823",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.