Individual provider Active NPI

Charles Stanwood Carignan, MD

  • General Practice Physician
  • Boston, MA
National Provider Identifier
1851626493
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
D0053947 Issued in MD
Practice address
18 Yarmouth St
Boston, MA 02116-5810
Phone
(978) 460-0773
NPI assigned
Oct 15, 2009
Last updated
Oct 15, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X D0053947 MD Primary

Addresses

Primary practice location

18 Yarmouth St
Boston, MA 02116-5810

Mailing address

18 Yarmouth St
Boston, MA 02116-5810
Phone (978) 460-0773

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0053947MDMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255564800000",
    "number": "1851626493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 YARMOUTH ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021165810",
            "telephone_number": "978-460-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 YARMOUTH ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021165810",
            "telephone_number": "978-460-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARIGNAN",
        "first_name": "CHARLES",
        "middle_name": "STANWOOD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-15",
        "last_updated": "2009-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MD",
            "license": "D0053947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.