Charles John Hamby, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

Q7696 Issued in TX

Practice address

1839 Broken Bend Dr
Westlake, TX 76262-8205

Phone

(630) 607-1257

Fax

(312) 261-9937

NPI assigned

Oct 11, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1780672147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 BROKEN BEND DR",
            "city": "WESTLAKE",
            "state": "TX",
            "postal_code": "762628205",
            "telephone_number": "630-607-1257",
            "fax_number": "312-261-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 BROKEN BEND DR",
            "city": "WESTLAKE",
            "state": "TX",
            "postal_code": "762628205",
            "telephone_number": "630-607-1257",
            "fax_number": "312-261-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBY",
        "first_name": "CHARLES",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "36114153",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q7696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crossover Health Medical Group
• CVS Pharmacy Inc
• Eyes on Westlake, PLLC
• Sue Feingold, RPH
• Catherine Carol Friesch, N.P.
• Ishrat Jahan, PA
• Jeslie Cuaresma Kessenich, PHARMD
• Lone Star Neurosurgical Assistants
• Eric Mathias, FNP
• Kimberly Blythe McPherson, O.D.

• All providers in Westlake, TX
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.