Individual provider Active NPI

Charles E Gabe, D.O.

  • Radiation Oncology Physician
  • Princeton, WV
National Provider Identifier
1841231933
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
1231 Issued in WV
Practice address
210 New Hope Rd
Princeton, WV 24740-2136
Phone
(304) 425-1960
Fax
(304) 487-3514
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 1231 WV Primary

Addresses

Primary practice location

210 New Hope Rd
Princeton, WV 24740-2136

Mailing address

210 New Hope Rd
Princeton, WV 24740-2136
Phone (304) 425-1960

Other identifiers 2

IdentifierTypeStateIssuer
0118612000MedicaidWV
4231158OtherWVAETNA

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 Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Radiation Oncology Associates, Inc. Radiation Oncology CurrentSince Jul 29, 2004 Accepting new patients
West Virginia Radiation Therapy Services Inc Radiation Oncology Past Accepting new patients
Greenbrier Valley Radiation Oncology, PLLC Radiation Oncology Past Accepting new patients

Locations

105 Westwood Cmn
Bluefield, VA 24605
Phone (276) 235-6232

Organizations & group practices 3

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1841231933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 NEW HOPE RD",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402136",
            "telephone_number": "304-425-1960",
            "fax_number": "304-487-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 NEW HOPE RD",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402136",
            "telephone_number": "304-425-1960",
            "fax_number": "304-487-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABE",
        "first_name": "CHARLES",
        "middle_name": "E",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WV",
            "license": "1231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0118612000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4231158",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.