CHARLES EDWIN HORTON JR. (NPI# 1326054321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326054321 |
| Entity Type | Individual |
| Full Name | CHARLES EDWIN HORTON JR. |
| Credential | M.D. |
| Practice Address |
601 Childrens Lane Childrens Surgical Specialty Group Inc Norfolk VA 23507 |
| Mailing Address |
Po Box 741593 Childrens Surgical Specialty Group Inc Atlanta GA 30374-1593 |
| Practice Telephone | 7576687878 |
| Practice Fax Number | 7576687883 |
| Mailing Telephone | 7576687878 |
| Mailing Fax Number | 7576687883 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2012-12-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2088P0231X |
Urology Specialization: Pediatric Urology |
0101045246 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | NORTH CAROLINA MEDICAID | 8905439 | 01 |
| VA | NC HEALTH CHOICE | 311610834 | 01 |
| VA | AETNA | 4131324 | 01 |
| VA | MAMSI/OPTIMUM CHOICE | 910715 | 01 |
| VA | OPTIMA/SENTARA HEALTH | 15507 | 01 |
| VA | CIGNA | 3116108340005E | 01 |
| VA | 007502371 | 05 | |
| VT | ANTHEM BCBS | 324839 | 01 |
| VA | ALLIANCE/MDIPA | 910715 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841616976 | Charles Horton | Counselor | 59 Rawson Rd, Webster, MA 01570-6829 | 2014-03-13 |
| 1972777878 | Charles Newton Horton | Anesthesiology | Dept of Anes U Pittsburgh A1305 Scaife Hl, 3550 Terrace St., Pittsburgh, PA 15261-0001 | 2008-04-22 |
| 1700935236 | Charles Craford Horton | Chiropractor | 1141 Greenwood Lake Tpke, Ringwood, NJ 07456-1402 | 2007-01-10 |
| 1255747168 | Charles Horton Sr. | Counselor | 301 Spring Garden Road, Winslow, NJ 08095-0080 | 2014-07-11 |
| 1639496763 | Charles Lee Horton Sr. | Pharmacist | 201 S 15th St, Corsicana, TX 75110-5138 | 2010-04-29 |
| 1114017555 | Charles R. Horton | Family Medicine | 207 Carter St, Berryville, AR 72616-4303 | 2006-10-14 |
| 1871574608 | Charles Richardson Horton Jr. | Pediatrics | 115 Manning Drive, Suite A101, Huntsville, AL 35801 | 2005-11-09 |
| Street Address |
601 CHILDRENS LANE CHILDRENS SURGICAL SPECIALTY GROUP INC |
| City | NORFOLK |
| State | VA |
| Zip Code | 23507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427046465 | Bradley John Boetig | Pediatrics | 601 Childrens Lane, Norfolk, VA 23507-1910 | 2005-10-13 |
| 1740699222 | Jesse Ranney | Pediatrics | 601 Childrens Lane, Norfolk, VA 23507 | 2014-08-08 |
| 1508001132 | Laura Jeanne Schacht | Nurse Practitioner | 601 Childrens Lane, Norfolk, VA 23507 | 2008-12-11 |
| 1396756870 | Amy Vyas | Pediatrics | 601 Childrens Lane, Childrens Hospital of The Kings Daughters, Norfolk, VA 23507-1971 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790306801 | Paolo Quentin Rigo | Student in an Organized Health Care Education/Training Program | Smith Rogers Hall, 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-04-29 |
| 1811526221 | Sean M Whitty | Student in an Organized Health Care Education/Training Program | Emergency Medicine Residency, Raleigh Building, St 304, 600 Gresham Dr, Norfolk, VA 23507 | 2020-04-07 |
| 1962030643 | Shekinah Joy Vaughn | Student in an Organized Health Care Education/Training Program | 385 Mowbray Arch Ste 203205, Norfolk, VA 23507 | 2020-03-30 |
| 1982231403 | Jaxon Vallely | Student in an Organized Health Care Education/Training Program | 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-03-25 |
| 1437714656 | Kanishk Deep Sharma | Student in an Organized Health Care Education/Training Program | 825 Fairfax Avenue Eastern Virginia Medical School Inte, Suite 445, Norfolk, VA 23507 | 2019-05-02 |
| 1619439460 | Dylan Woolum | Student in an Organized Health Care Education/Training Program | Raleigh Building, Suite 304, 600 Gresham Drive, Norfolk, VA 23507 | 2019-04-02 |
| 1477012623 | Jessie R Jones | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave Ste 513a, Norfolk, VA 23507 | 2019-03-18 |
| 1316416787 | Lindsey Sawyer | Genetic Counselor, MS | Childrens Hospital of The Kings Daughters, 601 Childrens Lane, Norfolk, VA 23507 | 2018-11-15 |
| 1881188159 | Patrick Michael Haar | Pharmacist | 601 Pembroke Avenue, Apt 104, Norfolk, VA 23507 | 2018-06-19 |
| 1316438377 | Monika Pajhal | Student in an Organized Health Care Education/Training Program | Eastern Virginia Medical School (internal Medicine), Internal Medicine, 825 Fairfax Ave, Suite 410, Norfolk, VA 23507 | 2018-05-25 |
| Find all providers in zip 23507 | ||||
| Taxonomy Code | 2088P0231X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| Specialization | Pediatric Urology |
| Surgeons who can diagnose, treat, and manage children’s urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). |
| Notes: Source: American Academy of Pediatrics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003985235 | Jyoti Upadhyay | Urology | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2006-11-06 |
| 1508872797 | Louis Joseph Wojcik | Urology | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922200906 | Eric Donald Nelson | Urology | 1000 E Broad St, Richmond, VA 23219-1930 | 2007-06-03 |
| 1740318682 | Sean T. Corbett | Urology | 1204 W Main St, Charlottesville, VA 22903-2824 | 2007-03-01 |
| 1831243542 | George Samuel Hurt | Urology | 101 Cleveland Ave, Suite C, Martinsville, VA 24112-3700 | 2007-01-22 |
| 1073667630 | Martinsville Urologic Clinic PC | Urology | 15 Cleveland Ave, Suite 15, Martinsville, VA 24112-2937 | 2007-01-22 |
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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.