Active NPI
Charles Richard King III, MD
- Obstetrics & Gynecology Physician
- Gainesville, FL
National Provider Identifier
1851360127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME21794
- Practice address
- 4343 W Newberry Rd
Ste 16
Gainesville, FL 32607-2817 - Phone
- (352) 333-0334
- Fax
- (352) 333-0337
- NPI assigned
- Mar 17, 2006
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME21794 | FL | Primary |
Addresses
Primary practice location
4343 W Newberry Rd
Ste 16
Gainesville, FL 32607-2817
Mailing address
4881 NW 8TH Ave
Suite 2
Gainesville, FL 32605-4582
Phone (352) 373-6338
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME 21794 | Other | FL | MEDICAL LICENSE |
| 271864200 | Medicaid | FL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332374400000",
"number": "1851360127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4881 NW 8TH AVE",
"address_2": "SUITE 2",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054582",
"telephone_number": "352-373-6338",
"fax_number": "352-373-6144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4343 W NEWBERRY RD",
"address_2": "STE 16",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326072817",
"telephone_number": "352-333-0334",
"fax_number": "352-333-0337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "CHARLES",
"middle_name": "RICHARD",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2012-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME21794",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "ME 21794",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "271864200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.