Active NPI
Charles H Pancoast, MD
- Emergency Medicine Physician
- Cape Girardeau, MO
National Provider Identifier
1912967902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- R9H74
- Practice address
- 211 St Francis Dr
Cape Girardeau, MO 63703-8344 - Phone
- (573) 331-5228
- Fax
- (573) 331-5039
- NPI assigned
- Mar 24, 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | R9H74 | MO | Primary |
Addresses
Primary practice location
211 St Francis Dr
Cape Girardeau, MO 63703-8344
Mailing address
211 St Francis Dr
Cape Girardeau, MO 63703-8344
Phone (573) 331-5228
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
Interoperability endpoints
- cpancoast10940@surescripts.sfmc.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1912967902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 ST FRANCIS DR",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637038344",
"telephone_number": "573-331-5228",
"fax_number": "573-331-5039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 ST FRANCIS DR",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637038344",
"telephone_number": "573-331-5228",
"fax_number": "573-331-5039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANCOAST",
"first_name": "CHARLES",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "R9H74",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.