CHARLES A PRENTICE MD PA (NPI# 1013293109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013293109 |
| Entity Type | Organization |
| Organization Name | CHARLES A PRENTICE MD PA |
| Other Organization Name | CHARLES A PRENTICE MD PA |
| Practice Address |
214 S Pine Ave Inverness FL 34452-4838 |
| Practice Telephone | 3527269006 |
| Mailing Telephone | 3527269006 |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2011-11-15 |
| Authorized Official Name | CHARLES ALEXANDER PRENTICE (PHYSICIAN) |
| Authorized Official Telephone | 3527269006 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME38475 | FL | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Charles A Prentice MD PA | Doing Business As Name - Organization |
| Street Address |
214 S PINE AVE |
| City | INVERNESS |
| State | FL |
| Zip Code | 34452-4838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134124951 | Charles Alexander Prentice | Specialist | 214 S Pine Ave, Inverness, FL 34452-4838 | 2005-06-17 |
| 1972820298 | Suncoast Gastroenterology Pa | Internal Medicine | 214 S Pine Ave, Inverness, FL 34452-4838 | 2010-04-26 |
| 1467601179 | Marlene Dixie Kramer | Dietitian, Registered | 214 S Pine Ave, Inverness, FL 34452-4838 | 2008-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528680204 | Medical Risk Solutions LLC | Family Medicine | 216-c South Apopka Ave., Inverness, FL 34452 | 2020-05-15 |
| 1801354204 | Mari Parker | Nurse Practitioner | 520 W Highland Blvd, Inverness, FL 34452 | 2019-03-05 |
| 1346737061 | Sharma Institute of Pain Medicine | Physical Medicine & Rehabilitation | 211 South Seminole Ave, Inverness, FL 34452 | 2018-04-18 |
| 1548779846 | Alexandra Weinmann | Behavior Technician | 6765 E Kingsbury Lane, Inverness, FL 34452 | 2017-09-29 |
| 1821536913 | Mechelle Louise Lewis | Nurse Practitioner | 212 S. Pine Avenue, Inverness, FL 34452 | 2017-02-08 |
| 1639615131 | Elizabeth Lynch | Behavioral Analyst | 609 Goodyear Ave, Inverness, FL 34452 | 2017-01-09 |
| 1942511100 | Families Come First, LLC | In Home Supportive Care | 220 S Pine Ave, Invenress, FL 34452 | 2010-06-23 |
| 1639342470 | Assisted Living Concepts Inc | Assisted Living Facility | 700 Medical Court East, Inverness, FL 34452 | 2008-04-11 |
| 1063684686 | Winn-dixie Stores, Inc. | Durable Medical Equipment & Medical Supplies | 333 Highland Ave Space 600, Inverness, FL 34452 | 2008-03-25 |
| 1831372606 | Gira S. Shah, Md, Pa | Internal Medicine | 203 S. Seminole Ave, Inverness, FL 34452 | 2007-12-14 |
| Find all providers in zip 34452 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427490614 | Kathryn L Menis | Specialist | 1731 Galloway Cir, Inverness, IL 60010-5718 | 2013-07-29 |
| 1598805749 | Craig W. Englund, Md, Pa | Specialist | 801 Medical Ct E, Inverness, FL 34452-4623 | 2007-02-07 |
| 1134124951 | Charles Alexander Prentice | Specialist | 214 S Pine Ave, Inverness, FL 34452-4838 | 2005-06-17 |
| 1831380732 | Beena M Stanley | Specialist | 511 W Highland Blvd, Inverness, FL 34452-4719 | 2007-08-06 |
| 1215156179 | Genesis Womens Center Pa | Specialist | 800 Medical Ct E, Inverness, FL 34452-4612 | 2007-04-25 |
| 1912049628 | Todd Sisto Md Pa | Specialist | 131 S Citrus Ave, Suite 307, Inverness, FL 34452-4701 | 2007-02-12 |
| 1891744694 | Robert Ulseth LLC | Specialist | 305 S Line Ave, Inverness, FL 34452-4605 | 2006-05-09 |
| 1548238389 | Thomas E Hendrick | Specialist | 403 W Highland Blvd, Inverness, FL 34452-4717 | 2006-03-09 |
| 1790752863 | Inverness Surgical Association P A | Specialist | 403 W Highland Blvd, Inverness, FL 34452-4717 | 2006-03-07 |
| 1275504888 | Todd F Sisto | Specialist | 131 S Citrus Ave, Suite 307, Inverness, FL 34452-4701 | 2006-01-31 |
| Find all providers in INVERNESS | ||||
Please comment or provide details below to improve the information on CHARLES A PRENTICE MD PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.