Individual provider Active NPI

Charles Richard Emery

  • Physician Assistant
  • Rosebud, SD
National Provider Identifier
1881786853
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0507 Issued in SD
Practice address
Soldier Creek Road
Rosebud IHS Hospital
Rosebud, SD 57570-1006
Phone
(605) 747-2231
NPI assigned
Sep 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0507 SD Primary

Addresses

Primary practice location

Soldier Creek Road
Rosebud IHS Hospital
Rosebud, SD 57570-1006

Mailing address

PO Box 1006
Rosebud, SD 57570-1006
Phone (605) 747-2231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, SD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040323001910 TX Practitioner - Physician Assistant 6800787235 Reassigns benefits to 3 organizations
I20070404000294 SD Practitioner - Physician Assistant 6800787235 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ton Sells HospitalGroup PAC ID 5092768663, 51 clinicians

Practice addresses (Care Compare)

Highway 86 at Topawa Rd
Sells Indian Hospital
Sells, AZ 85634
Phone (520) 383-7285

Hwy 86 and Topawa Rd
Sells, AZ 85634

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0507SDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Huron Regional Medical Center Inc CurrentSince Aug 12, 2019 Accepting new patients
Huron Laboratory SVC PC Current Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Jul 5, 2022 Accepting new patients
Ton Sells Hospital CurrentSince Nov 18, 2022 Accepting new patients
Rural Health Care, Inc. CurrentSince Sep 8, 2008 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Jul 5, 2022 Accepting new patients
Ton Sells Hospital Past Accepting new patients

Locations

172 4th St SE
Huron, SD 57350
Phone (605) 353-6593

Organizations & group practices 9

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881786853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1006",
            "city": "ROSEBUD",
            "state": "SD",
            "postal_code": "575701006",
            "telephone_number": "605-747-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SOLDIER CREEK ROAD",
            "address_2": "ROSEBUD IHS HOSPITAL",
            "city": "ROSEBUD",
            "state": "SD",
            "postal_code": "575701006",
            "telephone_number": "605-747-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERY",
        "first_name": "CHARLES",
        "middle_name": "RICHARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosebud, SD

Sources for this page

Verify at the official NPI Registry.