DR. JOSEPH MICHAEL CHARLES JR. (NPI# 1407805336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407805336 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH MICHAEL CHARLES JR. |
| Credential | M.D. |
| Practice Address |
840 Lobo Canyon Rd Grants NM 87020-2172 |
| Mailing Address |
Po Box 7191 Grants NM 87020-7191 |
| Practice Telephone | 3863863845 |
| Practice Fax Number | 5053931076 |
| Mailing Telephone | 3863653845 |
| Mailing Fax Number | 5053931076 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2019-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | MD2013-0395 | NM | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 4301070177 | MI | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 62486 | GA | Allopathic & Osteopathic Physicians |
| Y | 207V00000X | Obstetrics & Gynecology | ME82558 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 262993300 | 05 | |
| FL | MEDICARE | 10-8990 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 19344 Cumberland Way, Detroit, MI 482031456 | 3863653845 | |
| 356 Sw Miracle Ct, Lake City, FL 320240562 | 3863653845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851470637 | Joseph Narces Charles | Pediatrics | 440 E 19 St, Brooklyn, NY 11226 | 2006-11-03 |
| 1649758962 | Joseph Bernard Charles | Nurse Practitioner | 16 Ritter St, San Rafael, CA 94901-3323 | 2018-07-30 |
| 1245309624 | Joseph Ernst Charles | Psychiatry & Neurology | 3600 Jerome Ave, Bronx, NY 10467-1052 | 2006-11-07 |
| 1710913546 | Joseph Thomas Charles | Radiology | 1825 Se Tiffany Ave, Suite 104, Port St Lucie, FL 34952-7554 | 2006-06-23 |
| 1780666438 | Joseph C Charles | Hospitalist | 5777 E Mayo Blvd, Phoenix, AZ 85054 | 2005-11-17 |
| Street Address |
840 LOBO CANYON RD |
| City | GRANTS |
| State | NM |
| Zip Code | 87020-2172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447241005 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 840 Lobo Canyon Rd, Grants, NM 87020-2172 | 2005-11-02 |
| 1922045319 | Djrj3 Medical Services Inc | Obstetrics & Gynecology | 840 Lobo Canyon Rd, Grants, NM 87020-2172 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104453836 | Tiffany Shell Flippen | Counselor | 1016 E. Roosevelt Ave., Grants, NM 87020 | 2020-03-24 |
| 1295382265 | Janell Marie Villalobos | Registered Nurse | 813 Mesa Blvd., Grants, NM 87020 | 2019-08-23 |
| 1396243390 | Las Brisas Enterprises, LLC | Clinic/Center | 1209 Bonita Ave Suite A, Grants, NM 87020 | 2018-01-25 |
| 1407386014 | Wilma Beverly White | Occupational Therapy Assistant | 200 Adams, Grants, NM 87020 | 2017-06-15 |
| 1063840551 | Patricia Thompson | Nurse Practitioner | 2111 Lobo Canyon Rd, Grants, NM 87020 | 2013-10-22 |
| 1063778512 | Adobe Foot and Ankle Specialists, P.C. | Podiatrist | 765 E. Roosevelt Ave., Grants, NM 87020 | 2012-04-10 |
| 1841588506 | Saint Mary Nonemergency Medical Transportatio | Non-emergency Medical Transport (VAN) | 1325 Saddlehorn Trail, Grants, NM 87020 | 2011-07-15 |
| 1801129416 | Tammy L. White | Social Worker | 2595 West Highway 66, Grants, NM 87020 | 2009-09-14 |
| 1720236524 | Martha Abeyta | Nurse Practitioner | 1210 Mt. Taylor Ave, Grants, NM 87020 | 2008-09-04 |
| 1780869255 | Lou G. Mazon-vigil | Homeopath | 1300 Del Norte Blvd, Grants, NM 87020 | 2008-01-03 |
| Find all providers in zip 87020 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922045319 | Djrj3 Medical Services Inc | Obstetrics & Gynecology | 840 Lobo Canyon Rd, Grants, NM 87020-2172 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205472552 | Planned Parenthood of The Rocky Mountains | Obstetrics & Gynecology | 730 Saint Michaels Dr # 4b, Santa Fe, NM 87505-7606 | 2019-11-21 |
| 1588200836 | Planned Parenthood of The Rocky Mountains | Obstetrics & Gynecology | 9809 Candelaria Rd Ne Bldg 2, Albuquerque, NM 87112-1458 | 2019-11-21 |
| 1487176061 | Southwest Gynecology, Inc. | Obstetrics & Gynecology | 2930 Hillrise Dr Ste 2, Las Cruces, NM 88011-4776 | 2017-07-14 |
| 1417319815 | Stephanie Rieder | Obstetrics & Gynecology | Msc 10 5580 Department of Obstetrics and Gynecology, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2016-03-24 |
| 1629443049 | The Fertility Center of New Mexico LLC | Obstetrics & Gynecology | 201 Cedar St Se Ste S120, Albuquerque, NM 87106-4900 | 2015-12-10 |
| 1669854501 | Adenieki Mornan | Obstetrics & Gynecology | 2420 W Pierce St Ste 200, Carlsbad, NM 88220-3518 | 2015-06-28 |
| 1689051666 | Anwar Davis Jackson | Obstetrics & Gynecology | 2211 Lomas Blvd Ne Ste 4acc, Albuquerque, NM 87106-2719 | 2015-04-29 |
| 1609288562 | Trevor Quiner | Obstetrics & Gynecology | Msc Obgyn 1 University of New Mexico, Albuquerque, NM 87131 | 2014-05-27 |
| 1831518554 | Jacob T Sypher | Obstetrics & Gynecology | Us Hwy 160 North, Shiprock, NM 87420 | 2014-04-09 |
| 1932527579 | Elizabeth Anne Clark | Obstetrics & Gynecology | Dept of Ob Gyn Msc 10 5580, 1 University of New Mexico, Albuquerque, NM 87131 | 2014-04-01 |
| Find all providers with the same taxonomy | ||||
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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.