CHARLES W DUNN (NPI# 1053418152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053418152 |
| Entity Type | Individual |
| Full Name | CHARLES W DUNN |
| Credential | MD |
| Practice Address |
1230 E Kingsley St Suite C Springfield MO 65804-7211 |
| Mailing Address |
Po Box 802843 Kansas City MO 64180-2843 |
| Practice Telephone | 4178822349 |
| Practice Fax Number | 4178821083 |
| Mailing Telephone | 4172695712 |
| Mailing Fax Number | 4172697567 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
R9N08 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 118554001 | 05 | |
| MO | 202933115 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194215640 | Charles Dunn | Counselor | 1359 Edmonton Dr, Lewisville, TX 75077-2952 | 2018-05-10 |
| 1518940105 | Charles A Dunn | Family Medicine | 4950 Sw 42nd Ave, Ste A, Coral Gables, FL 33146-2231 | 2005-11-28 |
| 1477976082 | Charles Luckey Dunn | Pediatrics | 673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 | 2014-02-03 |
| 1184789117 | Charles Melbern Dunn IIi | Dentist | 626 120th Ave Ne Ste B210, Bellevue, WA 98005-3038 | 2006-12-27 |
| 1215990668 | Charles Dunn | Obstetrics & Gynecology | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 | 2006-04-07 |
| 1467421586 | Charles J Dunn | Radiology | 236 Nw 62nd St, Oklahoma City, OK 73118-7422 | 2006-03-14 |
| Street Address |
1230 E KINGSLEY ST SUITE C |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-7211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194724211 | Robert E Benedett | Ophthalmology | 1230 E Kingsley St, Suite A, Springfield, MO 65804-7211 | 2005-07-20 |
| 1952661423 | Mary Nanette Crighton | Anesthesiology | 1230 E Kingsley St, Suite C, Springfield, MO 65804-7211 | 2012-05-18 |
| 1891895553 | John C Crighton | Surgery | 1230 E Kingsley St, Suite C, Springfield, MO 65804-7211 | 2006-09-23 |
| 1063510386 | Crighton Olive Dunn Surgical Group Inc | Surgery | 1230 E Kingsley St, Suite C, Springfield, MO 65804-7211 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1962791632 | Rishi Subbarayan | Surgery | 960 16th St, Springfield, OR 97477-4175 | 2011-04-04 |
| 1720220759 | Kathleen M Lamb | Surgery | 446 Kent Rd, Springfield, PA 19064-3306 | 2009-04-06 |
| 1417943937 | Kim J Hodgson | Surgery | 340 W Miller St, Springfield, IL 62702-4928 | 2005-09-20 |
| 1275525743 | Michael D Addis | Surgery | 649 Morris Ave, Springfield, NJ 07081-1518 | 2005-08-19 |
| 1861496242 | Springfield Surgery PC | Surgery | 322 Northcrest Dr, Springfield, TN 37172-3963 | 2005-06-13 |
| 1497315873 | Shawn Poole | Surgery | 701 N 1st St # D346, Springfield, IL 62702-3757 | 2019-06-18 |
| 1952830473 | Ruhani Nanavati | Surgery | 701 N 1st St # D346, Springfield, IL 62702-3757 | 2017-06-08 |
| 1356894521 | Tian Zhang | Surgery | 701 N 1st St, Springfield, IL 62702-3757 | 2016-07-25 |
| 1730528563 | Emily Marie Serafin | Surgery | 800 N 1st St, Springfield, IL 62702 | 2013-06-14 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
Please comment or provide details below to improve the information on CHARLES W DUNN.
| 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.