Dr Charles J Badger II, General Practioner, PC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

209797 Issued in NY

Legal business name

DR CHARLES J BADGER II, GENERAL PRACTIONER, PC

Practice address

156 Corliss Ave Apt 708
Johnson City, NY 13790-2071

Phone

(917) 250-3700

Fax

(607) 797-1460

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Charles J Badger, MD

Title

Physician

Phone

(917) 250-3700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1982779310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 CORLISS AVE APT 708",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902071",
            "telephone_number": "917-250-3700",
            "fax_number": "607-797-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 CORLISS AVE APT 708",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902071",
            "telephone_number": "917-250-3700",
            "fax_number": "607-797-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CHARLES J BADGER II, GENERAL PRACTIONER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "BADGER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "917-250-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "209797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kearra Doheny, LMSW
• Mindi Anne Donahue, P.A.
• Patricia Donovan, D.O.
• Julie Douglass
• Diane Downton, DMD
• Joshua Durham Drace, ATC
• Jacob Dunham, PA
• Karen Lee Dunham, PA
• Wendy Marie Dunn, LCSW
• Brittany Kristen Lee Duran, FNP

• General Acute Care Hospital in Johnson City, NY
• Providers in Johnson City, NY by specialty
• General Acute Care Hospital in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.