Charles F Eberle, M.D.

Primary specialty

Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X

License

82-188 Issued in NM

Practice address

6501 Meoqui CT NW
Los Ranchos, NM 87107-5613

Phone

(505) 688-5032

Fax

(505) 344-1698

NPI assigned

May 4, 2007

Last updated

Dec 31, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gibson Community Hospital Association

  dba Gibson Area Hospital and Health Services

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451520000000",
    "number": "1962614826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 MEOQUI CT. NW",
            "city": "LOS RANCHOS",
            "state": "NM",
            "postal_code": "87107",
            "telephone_number": "505-688-5032",
            "fax_number": "505-344-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 MEOQUI CT NW",
            "city": "LOS RANCHOS",
            "state": "NM",
            "postal_code": "871075613",
            "telephone_number": "505-688-5032",
            "fax_number": "505-344-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERLE",
        "first_name": "CHARLES",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2015-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "NM",
            "license": "82-188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah R Davis
• Dianne Barnes LPCC Lpat
• Jeanette Diaz, LMHC
• Christine Drapeau, FNP-C
• Abigail Lanin Eaves, CNM
• Penny Edwards, LMSW
• Jeana Marie Efroymson, SLP
• Oscar Elias, LMT, BSN RN
• Equanimity Group LLC
• Eyes of NM Family Optometry LLC (Eyes of New Mexico Family Optomety)

• Pediatric Orthopaedic Surgery Physician in Los Ranchos, NM
• Providers in Los Ranchos, NM by specialty
• Pediatric Orthopaedic Surgery Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; 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.