Charles Mauldin, MD PC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

R6J28 Issued in MO

Legal business name

CHARLES MAULDIN, MD PC

Practice address

3003 E Chestnut Expy Ste 109
Springfield, MO 65802-2527

Phone

(417) 865-0011

Fax

(417) 865-0040

NPI assigned

Jan 20, 2011

Last updated

Jan 20, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles C Mauldin Jr., M.D.

Title

Owner

Phone

(417) 848-2161

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1962707075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14513",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658140513",
            "telephone_number": "417-848-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 E CHESTNUT EXPY STE 109",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658022527",
            "telephone_number": "417-865-0011",
            "fax_number": "417-865-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES MAULDIN, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-20",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "MAULDIN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-848-2161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MO",
            "license": "R6J28",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Chapman, RN-MSN, NNP-BC
• Bradley Sean Chapman, CRNA
• Erin Margaret Chapman
• Charles a Maurer DC PC (Family Back and Neck Care Centre)
• Charles a Vogel DDS PC
• Hayley Charles
• Donald Charpentier Jr., PHARM.D.
• Samantha M Charters, ATC
• Larry K Chase, MD
• Alyssa Christine Chastain, FNP

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Springfield, MO
• Providers in Springfield, MO by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.