Charles Gazoo, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0001151059 Issued in VA

Practice address

501 Sunset LN
Culpeper, VA 22701-3917

Phone

(540) 829-4100

Fax

(540) 829-5757

NPI assigned

Apr 6, 2007

Last updated

Jan 26, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Skyline Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Culpeper, VA
  • NPI 1669428033
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1912029117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SUNSET LN",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013917",
            "telephone_number": "540-829-4100",
            "fax_number": "540-829-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SUNSET LN",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013917",
            "telephone_number": "540-829-4100",
            "fax_number": "540-829-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAZOO",
        "first_name": "CHARLES",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0001151059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "500018174",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010053099",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zoe Grace Fry, OTR/L
• Amelie Ntsama Gale, PHARM D
• Katherine Natalia Garcia
• Patricia A Gardner-Jackson, LCSW
• Kristen Gardner
• Elizabeth Ashley-Allen Geary, MOT OTR/L
• Steven Craig Geer Jr., LMT
• Genoa Healthcare LLC
• Kearn K Ghuman, DO
• Philip Matthew Gibson

• Family Nurse Practitioner in Culpeper, VA
• Providers in Culpeper, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.