MR. CHARLES W BRUNELLE (NPI# 1083685440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083685440 |
| Entity Type | Individual |
| Full Name | MR. CHARLES W BRUNELLE |
| Credential | MD |
| Practice Address |
375 N Eastown Rd Lima OH 45807-2214 |
| Mailing Address |
81 Hawthorne Dr Lima OH 45805-4074 |
| Practice Telephone | 4192283500 |
| Practice Fax Number | 4192286700 |
| Mailing Telephone | 4199991312 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2013-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
35042012 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0361335 | 05 |
| Street Address |
375 N EASTOWN RD |
| City | LIMA |
| State | OH |
| Zip Code | 45807-2214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427413228 | Sheri Lynn Miller | Nurse Practitioner | 375 N Eastown Rd, Lima, OH 45807-2214 | 2015-12-21 |
| 1811323405 | West Central Ohio Histology, LLC | Clinical Medical Laboratory | 375 N Eastown Rd, Lima, OH 45807-2214 | 2013-09-16 |
| 1548557762 | Lima Cancer and Blood Disease Center Inc | Internal Medicine | 375 N Eastown Rd, Suite C, Lima, OH 45807 | 2011-07-08 |
| 1134292584 | Gastroenterology of West Central Ohio, Inc. | Internal Medicine | 375 N Eastown Rd, Lima, OH 45807-2214 | 2006-11-15 |
| 1295847317 | Digestive Health & Endoscopy Center LLC | Clinic/Center | 375 N Eastown Rd, Lima, OH 45807-2214 | 2006-08-31 |
| 1811954142 | Abdulla Taja | Internal Medicine | 375 N Eastown Rd, Lima, OH 45807-2214 | 2006-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871849828 | Ashton J. Crook | Nurse Practitioner | 3224 Jarvis Drive, Lima, OH 45807 | 2012-07-27 |
| 1093935140 | Lucy Marie Garland | Registered Nurse | 7070 Billymack Rd, Elida, OH 45807 | 2007-04-30 |
| 1629164728 | Kent Brandeberry | Family Medicine | 3224 Jarvis Dr, Lima, OH 45807 | 2006-10-05 |
| 1023031903 | Physicians Inc | Internal Medicine | 750 W High St, Suite 250, Lima, OH 45807 | 2006-07-25 |
| 1245501303 | Vickie Leeann Levan | Registered Nurse | 200 Baxter St, Elida, OH 45807-1005 | 2012-01-21 |
| 1255804969 | Julia M Smith | Student in an Organized Health Care Education/Training Program | 324 Baxter St, Elida, OH 45807-1007 | 2019-01-04 |
| 1871669317 | Steven Merritt Jones | Dentist | 409 E Kiracofe Ave, Elida, OH 45807-1031 | 2006-11-27 |
| 1356445084 | Todd R Bullinger | Chiropractor | 415 E Kiracofe Ave, Elida, OH 45807-1031 | 2006-09-12 |
| 1336590165 | Mary E Wiechart | Dentist | 409 E Kiracofe Ave, Lima, OH 45807-1031 | 2016-06-22 |
| 1851647895 | Total Body Chiropractic Center, LLC | Chiropractor | 415 E Kiracofe Ave, Elida, OH 45807-1031 | 2012-07-27 |
| Find all providers in zip 45807 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144288408 | Ven Kottapalli | Internal Medicine | 512 N Cable Rd, Lima, OH 45805-2133 | 2006-05-03 |
| 1235496142 | Sheena Patel | Internal Medicine | 2793 Shawnee Rd, Lima, OH 45806-1444 | 2012-04-16 |
| 1134292584 | Gastroenterology of West Central Ohio, Inc. | Internal Medicine | 375 N Eastown Rd, Lima, OH 45807-2214 | 2006-11-15 |
| 1255350153 | Richard R Capone | Internal Medicine | 967 Bellefontaine Ave, Suite 201, Lima, OH 45804-2888 | 2006-07-19 |
| 1275571929 | Gastro-intestinal Associates, Inc | Internal Medicine | 2793 Shawnee Rd, Lima, OH 45806-1444 | 2006-06-03 |
| 1811954142 | Abdulla Taja | Internal Medicine | 375 N Eastown Rd, Lima, OH 45807-2214 | 2006-04-28 |
| 1851358196 | Gi Physicians Inc | Internal Medicine | 770 W High St, Ste 290, Lima, OH 45801-3990 | 2006-04-28 |
| 1295707404 | Howard J Solomon | Internal Medicine | 2793 Shawnee Rd, Lima, OH 45806-1444 | 2006-02-02 |
| 1043282239 | Tariq I Sheikh | Internal Medicine | 2793 Shawnee Rd, Lima, OH 45806-1444 | 2006-02-02 |
| 1225009699 | Mark H Leifer | Internal Medicine | 2793 Shawnee Rd, Lima, OH 45806-1444 | 2006-02-01 |
| Find all providers in LIMA | ||||
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| 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.