Charles F Yeagle, MD, PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

CHARLES F YEAGLE, MD, PC

Practice address

400 Benedicta Ave
Suite F
Trinidad, CO 81082-2099

Phone

(719) 846-1700

Fax

(719) 846-1704

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Charles Francis Yeagle III, MD

Title

Owner

Phone

(719) 846-1700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952411258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BENEDICTA AVE",
            "address_2": "SUITE F",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822099",
            "telephone_number": "719-846-1700",
            "fax_number": "719-846-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BENEDICTA AVE",
            "address_2": "SUITE F",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822099",
            "telephone_number": "719-846-1700",
            "fax_number": "719-846-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES F YEAGLE, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YEAGLE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-846-1700",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41678842",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Trinidad, CO
• Providers in Trinidad, CO by specialty
• Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.