Individual provider Active NPI

Charles Alan Sholiton, M.D.

  • Personal Emergency Response Attendant
  • Dayton, OH
National Provider Identifier
1780697029
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Emergency Response AttendantTaxonomy code 146D00000X
License
35-040866 Issued in OH
Practice address
332 Congress Park Dr
Dayton, OH 45459-4133
Phone
(937) 312-3658
Fax
(937) 312-3719
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X 35-040866 OH Primary

Addresses

Primary practice location

332 Congress Park Dr
Dayton, OH 45459-4133

Mailing address

7619 S Goodrich SQ
New Albany, OH 43054-8931
Phone (614) 264-2038

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
35-040866OHMDPersonal Emergency Response Attendant

Practice roles

OrganizationSpecialtyStatusNew patients
4M Emergency Systems LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780697029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7619 S GOODRICH SQ",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430548931",
            "telephone_number": "614-264-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 CONGRESS PARK DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594133",
            "telephone_number": "937-312-3658",
            "fax_number": "937-312-3719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOLITON",
        "first_name": "CHARLES",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "OH",
            "license": "35-040866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • 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.