CHARLES C NALLEY (NPI# 1518193358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518193358 |
| Entity Type | Individual |
| Full Name | CHARLES C NALLEY |
| Credential | MD |
| Practice Address |
2352 Bruce B Downs Blvd Ste 102 Wesley Chapel FL 33544-9203 |
| Mailing Address |
38135 Market Sq Zephyrhills FL 33542-7505 |
| Practice Telephone | 8139790440 |
| Practice Fax Number | 8133555054 |
| Mailing Telephone | (352) 567-0188 |
| Mailing Fax Number | 8133555101 |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2017-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | ME132488 | FL | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | E9001 | AR | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
ME132488 | FL | Allopathic & Osteopathic Physicians |
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
E9001 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BLUE CROSS BLUE SHIELD | 5MM65 | 01 |
| AR | 211202001 | 05 |
| Street Address |
2352 BRUCE B DOWNS BLVD STE 102 |
| City | WESLEY CHAPEL |
| State | FL |
| Zip Code | 33544-9203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518453331 | Kaley Mcnabb | Registered Nurse | 2352 Bruce B Downs Blvd Ste 102, Wesley Chapel, FL 33544 | 2018-07-04 |
| 1750876090 | Rebecca Jo Fisher | Physician Assistant | 2352 Bruce B Downs Blvd Ste 102, Wesley Chapel, FL 33544 | 2018-06-28 |
| 1104327790 | Jacy Laine Higby | Physician Assistant | 2352 Bruce B Downs Blvd Ste 102, Wesley Chapel, FL 33544-9203 | 2018-02-28 |
| 1285147447 | Robert Taliaferro Jr. | Physician Assistant | 2352 Bruce B Downs Blvd Ste 102, Wesley Chapel, FL 33544-9203 | 2017-11-09 |
| 1477099091 | Benjamin Feldman | Physician Assistant | 2352 Bruce B Downs Blvd Ste 102, Wesley Chapel, FL 33544-9203 | 2017-01-07 |
| 1750770657 | Erica Franchick | Physician Assistant | 2352 Bruce B Downs Blvd Ste 102, Wesley Chapel, FL 33544-9203 | 2015-01-15 |
| 1609165547 | Seth A Cooper | Orthopaedic Surgery | 2352 Bruce B Downs Blvd Ste 102, Wesley Chapel, FL 33544-9203 | 2011-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871128413 | White Sands Home Health Care, Inc. | Registered Nurse | 4913 Pennecott Way, Wesley Chapel, FL 33544 | 2020-03-04 |
| 1932684560 | Jeneva M Barber | Counselor | 2824 Windguard Cir Ste 102, Wesley Chapel, FL 33544 | 2018-09-28 |
| 1457837874 | James Bishop | Physician Assistant | 2352 Bruce B Downs Blvd # 102, Wesley Chapel, FL 33544 | 2018-07-18 |
| 1396231411 | Florida Autism Center | Behavioral Analyst | 2389 Oak Myrtle Lane, Wesley Chapel, FL 33544 | 2018-07-02 |
| 1770094658 | Optimal Performance and Physical Therapies Wesley Chapel, LLC | Physical Therapist | 26830 Ridgebrook Dr, Suite 102, Wesley Chapel, FL 33544 | 2017-10-18 |
| 1942726690 | Phillip Montoure | Physical Therapist | 26830 Ridgerbrook Drive, Suite 102, Wesley Chapel, FL 33544 | 2017-08-15 |
| 1245760602 | Molinares Medical Center, LLC | Family Medicine | 2312 Crestover Lane, Ste 101, Wesley Chapel, FL 33544 | 2017-06-18 |
| 1700332558 | Qvita Health & Wellness, LLC | Clinic/Center | 2734 Windguard Circle, Suite 101, Welsy Chapel, FL 33544 | 2016-08-31 |
| 1740648724 | Graceful Caring | Health Maintenance Organization | 26834 Shoregrass Dr, Wesley Chapel, FL 33544 | 2016-02-04 |
| 1992187520 | Alexander Felipe Marrero-plasencia | Dentist | 1945 Noor Street, Apartment # 404, Wesley Chapel, FL 33544 | 2015-06-19 |
| Find all providers in zip 33544 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083758536 | Charles William Davis II | Orthopaedic Surgery | 2800 Windguard Cir Ste 101, Wesley Chapel, FL 33544-7366 | 2007-02-17 |
| 1912462441 | Davis Spine and Orthopaedics LLC | Orthopaedic Surgery | 2800 Windguard Cir Ste 101, Wesley Chapel, FL 33544-7366 | 2019-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386293215 | Citrus Spine Institute LLC | Orthopaedic Surgery | 1409 Kingsley Ave Ste 9f, Orange Park, FL 32073-4579 | 2019-09-04 |
| 1194383638 | Ortho Florida, LLC | Orthopaedic Surgery | 8190 S Jog Rd Ste 101, Boynton Beach, FL 33472-2911 | 2019-05-30 |
| 1821571175 | Orthopedic Spine Solutions Corp | Orthopaedic Surgery | 3852 Sheridan St, Hollywood, FL 33021-3634 | 2018-09-12 |
| 1194223461 | Select Health of Fl, LLC | Orthopaedic Surgery | 2 S Biscayne Blvd Ste 3760a, Miami, FL 33131-1815 | 2018-01-31 |
| 1568960839 | Spine Cin of Jacksonville LLC | Orthopaedic Surgery | 1301 Riverplace Blvd Ste 800a, Jacksonville, FL 32207-9047 | 2018-01-31 |
| 1912405283 | Spine Cin of Naples LLC | Orthopaedic Surgery | 8831 Business Park Dr Ste 301a, Fort Myers, FL 33912-2510 | 2018-01-31 |
| 1386142644 | Joint Replacement Cin of Naples LLC | Orthopaedic Surgery | 8831 Business Park Dr Ste 301b, Fort Myers, FL 33912-2510 | 2018-01-31 |
| 1366940140 | Joint Replacement Cin of Orlando LLC | Orthopaedic Surgery | 5401 S Kirkman Rd Ste 310b, Orlando, FL 32819-7940 | 2018-01-26 |
| 1811495690 | Joint Replacement Cin of Miami LLC | Orthopaedic Surgery | 2 S Biscayne Blvd Ste 3760b, Miami, FL 33131-1815 | 2018-01-26 |
| 1689182362 | Fss Keys LLC | Orthopaedic Surgery | 1111 12th St Ste 108, Key West, FL 33040-4087 | 2018-01-17 |
| Find all providers with the same taxonomy | ||||
| City | WESLEY CHAPEL |
| Zip Code | 33544 |
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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.