Charles E Culbertson, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

137905 Issued in NY

Practice address

4201 Buffalo Rd
North Chili, NY 14514-1201

Phone

(585) 594-5995

Fax

(585) 594-5425

NPI assigned

May 2, 2006

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 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Churchville-Chili Family Medicine, LLC

  • Family Medicine Physician
  • North Chili, NY
  • NPI 1326231291
  NPD (past)
• Rochester General Hospital

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1063531929
  NPD (past)

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1922066729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 BUFFALO RD",
            "address_2": "ATTN NANCY MOFFETT",
            "city": "NORTH CHILI",
            "state": "NY",
            "postal_code": "145141201",
            "telephone_number": "585-594-5995",
            "fax_number": "585-594-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 BUFFALO RD",
            "city": "NORTH CHILI",
            "state": "NY",
            "postal_code": "145141201",
            "telephone_number": "585-594-5995",
            "fax_number": "585-594-5425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULBERTSON",
        "first_name": "CHARLES",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "137905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110244049",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P010137905",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00025581301",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00355266",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "0414040",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "100855BJ",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIDNEY HILLMAN",
            "identifier": "2342",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11122053",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Ann Ciavarri, M.D.
• Patricia Ciulla, RN
• Camille Clawson, DPT
• Claudia Coke
• Carol Coy, NP
• Daphne Anne Cummings, DPT
• Brian L. Dickinson, DC, ATC, CPT
• Elizabeth Dingus, M.S., NCSP
• Brittany Nicole Douglas, LPN
• Dreamwalker LM.S.W. PLLC

• Internal Medicine Physician in North Chili, NY
• Providers in North Chili, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.