Active NPI
Charles Conger, MD
- Emergency Medicine Physician
- Waupaca, WI
National Provider Identifier
1811904287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 18856020
- Practice address
- 800 Riverside Dr
Waupaca, WI 54981-1943 - Phone
- (715) 258-1041
- NPI assigned
- Aug 1, 2006
- Last updated
- Aug 10, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 18856020 | WI | Primary |
Addresses
Primary practice location
800 Riverside Dr
Waupaca, WI 54981-1943
Mailing address
800 Riverside Dr
Waupaca, WI 54981-1943
Phone (715) 258-1041
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31243800 | Medicaid | WI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18856020 | WI | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249862400000",
"number": "1811904287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 RIVERSIDE DR",
"city": "WAUPACA",
"state": "WI",
"postal_code": "549811943",
"telephone_number": "715-258-1041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 RIVERSIDE DR",
"city": "WAUPACA",
"state": "WI",
"postal_code": "549811943",
"telephone_number": "715-258-1041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONGER",
"first_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2009-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "18856020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31243800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waupaca, WI
- Clarity Integrative Psychiatry LLC
- Constance M. Clausen, PTA
- Chad Alan Cloutier, DC
- Community Eyecare Center SC
- Comprehensive Health Law Services, LLC
- Guy S Connor, LCSW
- Alicia L Cook, SAC
- County of Waupaca (Waupaca County Dept of Human Services)
- County of Waupaca (Waupaca County Dept of Human Services)
- Stephanie Jean Crane, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.