NPIMap

Organization Active NPI

Charles Richard Underwood MD PLLC

  • Primary Care Clinic/Center
  • Naples, FL
National Provider Identifier
1962813790
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME38081 Issued in FL
Legal business name
CHARLES RICHARD UNDERWOOD MD PLLC
Practice address
400 8TH St N
Naples, FL 34102-5519
Phone
(239) 595-6687
NPI assigned
May 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Authorized official

Name
Jane E Stafford
Title
Manager
Phone
(239) 514-7734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME38081 FL Primary

Addresses

Primary practice location

400 8TH St N
Naples, FL 34102-5519

Mailing address

400 8TH St N
Naples, FL 34102-5519
Phone (239) 595-6687

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1962813790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 8TH ST N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025519",
            "telephone_number": "239-595-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 8TH ST N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025519",
            "telephone_number": "239-595-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES RICHARD UNDERWOOD MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "239-514-7734"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME38081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.