Charles W. Kelley III D.P.M.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

07000355A Issued in IN

Legal business name

CHARLES W. KELLEY III D.P.M.

Practice address

5602 Madison Ave
Indianapolis, IN 46227-4625

Phone

(317) 786-2239

Fax

(317) 784-2055

NPI assigned

Nov 26, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Charles Walter Kelley III, D.P.M.NPI 1023010980

Title

Sole Proprietor

Phone

(317) 786-2239

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Walter Kelley III, DPM

  • Foot Surgery Podiatrist
  • Indianapolis, IN
  • NPI 1023010980
  NPD (past) Authorized official

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

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1811142250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5602 MADISON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462274625",
            "telephone_number": "317-786-2239",
            "fax_number": "317-784-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5602 MADISON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462274625",
            "telephone_number": "317-786-2239",
            "fax_number": "317-784-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES W. KELLEY III D.P.M.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-26",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "317-786-2239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "IN",
            "license": "07000355A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charity Home Care Agency LLC
• Charity Home Care Inc
• Charles E Hughes III MD Inc
• Charles F Hasbrook MD PC
• Charles L. Steffel, D.D.S., M.S.D. & Associates, P.C.
• Diane Lynn Charles, LCSW
• Mary Frances Charles, FNP-BC
• Stacey Charles, MD
• Taisha Charles
• Eree Charleston, RBT

• Foot Surgery Podiatrist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Foot Surgery Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.