Charles A Fathallah, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

47039 Issued in MA

Practice address

146 Pleasant St
Attleboro, MA 02703-2443

Phone

(508) 226-4455

Fax

(508) 222-6778

NPI assigned

Jan 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Charles a Fathallah, MD, PC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Attleboro, MA
  • NPI 1083817746
  NPD (past) Authorized official

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790832913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 PLEASANT ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027032443",
            "telephone_number": "508-226-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 PLEASANT ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027032443",
            "telephone_number": "508-226-4455",
            "fax_number": "508-222-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATHALLAH",
        "first_name": "CHARLES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "47039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9722335",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSBCBS",
            "identifier": "M13478",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RIBCBS",
            "identifier": "410904",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Eye Center, LLC
• Sandra Faria, LMHC
• Taylor Lynn Farias
• Ellen Grace Farrell, MSW
• Kathleen Farroba, PT, DPT, GCS
• Linda S Faulk, M.D.
• Peter Martin Fay, MD
• Thomas Martin Fay, M.D.
• Bunmi Segun Fayemi
• Margaret Harrison Fedor, LMHC

• Orthopaedic Surgery Physician in Attleboro, MA
• Providers in Attleboro, MA by specialty
• Orthopaedic Surgery Physician in Massachusetts

• 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.