Individual provider Active NPI

Edgar Lee Charlton, M.D.

  • Internal Medicine Physician
  • North Olmsted, OH
National Provider Identifier
1821288556
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
046100 Issued in OH
Practice address
186 Vista Cir
North Olmsted, OH 44070-5709
Phone
(440) 570-1789
NPI assigned
Jul 30, 2007
Last updated
Jul 30, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 046100 OH Primary

Addresses

Primary practice location

186 Vista Cir
North Olmsted, OH 44070-5709

Mailing address

186 Vista Cir
North Olmsted, OH 44070-5709
Phone (440) 570-1789

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
046100OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of Ohio PA Co CurrentSince Mar 14, 2011 Accepting new patients

Locations

4660 Hinckley Industrial Pkwy
Cleveland, OH 44109
Phone (216) 749-2730

5500 S Marginal Rd
Cleveland, OH 44103
Phone (216) 221-7588

1435 Cincinnati St
Ste 100
Dayton, OH 45417
Phone (937) 449-0800

4623 Wesley Ave
Ste C
Norwood, OH 45212
Phone (513) 608-7042

7730 First Pl
Ste D
Oakwood Vlg, OH 44146
Phone (440) 735-0438

2884 E Kemper Rd
Sharonville, OH 45241
Phone (513) 771-2233

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1821288556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 VISTA CIR",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440705709",
            "telephone_number": "440-570-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 VISTA CIR",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440705709",
            "telephone_number": "440-570-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLTON",
        "first_name": "EDGAR",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "046100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Olmsted, OH

Sources for this page

Verify at the official NPI Registry.