CHARLESTON ROBERT POWELL


Address: Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-1000
Phone: 2539681110

CHARLESTON ROBERT POWELL (NPI# 1538660477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538660477
Entity Type Individual
Full Name CHARLESTON ROBERT POWELL
Credential MD
Practice Address Madigan Army Medical Center 9040 Jackson Ave
Tacoma
WA 98431-1000
Mailing Address 9040 Jackson Ave
Tacoma
WA 98431-0001
Practice Telephone 2539681110
Mailing Telephone 2539682462
Mailing Fax Number 2539682972
Enumeration Date 2018-02-26
Last Update Date 2020-07-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 0101268759 VA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 984311000 2539680375

Office Location

Street Address MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
City TACOMA
State WA
Zip Code 98431-1000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396740254 Dennis Huang Podiatrist Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 2005-06-16
1891395851 Juliana Dumayas Registered Nurse Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0002 2020-10-29
1922658491 Fatima Hossay Safi Social Worker Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 2019-09-17
1134778095 Vinzuella Boddie Registered Nurse Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 2019-09-04
1588219059 Susan Marie Lopez Dietitian, Registered Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 2019-08-01
1174177109 Bradley Scott Miller Registered Nurse Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-1100 2019-07-29
1437703568 Alex Alberto Hernandez Vargas Registered Nurse Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 2019-07-26
1427619733 Dana Michelle Sanchez-terry Nurse Practitioner Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431 2019-06-26
1255998076 Scott Michael Brown Military Health Care Provider Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-5650 2019-05-28
1861059081 Nathaniel Alan Castonguay Licensed Practical Nurse Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-1100 2019-05-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497212260 Catrina Renee Grugin Registered Nurse Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 2019-02-27
1801307681 Bianca Gomez Dental Assistant Bldg 9900 Lincoln Street, Jblm, WA 98431 2017-10-19
1184133225 Darren Paris Registered Nurse Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 2017-09-20
1922538206 Sarah Frerichs Dentist Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 2017-06-19
1740736495 Misty Hill Dental Assistant 9119 Mill Park Ave, Tacoma, WA 98431 2016-08-31
1336695535 Jacqueline D Massouda Dentist Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 2016-08-28
1609239375 Gregg V Palmer Licensed Practical Nurse 17th and C Street, Bldg 11582, Tacoma, WA 98431 2016-03-31
1114323904 Deanna Sheets Nurse Practitioner 911 Mil Park Ave, Tacoma, WA 98431 2014-11-06
1679905434 Austin William Schaar Dentist Building 9900, 2nd Floor, Tacoma, WA 98431 2013-08-05
1518209758 Maurice Ibrahim Khayat Internal Medicine 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 2013-03-26
Find all providers in zip 98431

Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255896601 Emily Christine Buck General Practice 940 Fitzsimmons Dr, Tacoma, WA 98431-0001 2019-02-08
1457708430 James Bailey General Practice 9040 Jackson Ave Tripler Army Medical Center, Tacoma, WA 98431-5001 2016-05-19
1841553740 Nevine F N Makari General Practice 6909 Bridgland Ln, Tacoma, WA 98407-1020 2012-06-17
1952637332 Proctor Medical Clinic General Practice 1208 South Proctor St, Tacoma, WA 98405 2009-10-20
1194050773 K and A Diagnostic Center General Practice 1206 South Proctor St, Tacoma, WA 98405 2009-10-15
1811915374 Dung Xuan Nguyen General Practice 3736 S G St, Tacoma, WA 98418-6725 2006-07-17
1770514937 Spanaway General Medical Clinic General Practice 15005 Pacific Ave, Spanaway General Medical Clinic, Tacoma, WA 98444 2006-07-06
1710936208 Jane Ann Moore General Practice 6002 Westgate Blvd, Suite 160, Tacoma, WA 98406-2571 2006-05-10
1295716884 Thu Van Le General Practice 1212 S 11th St, Suite 39, Tacoma, WA 98405-4021 2005-11-10
1841750536 Clayton Andrew Harris General Practice 9040 Jackson Ave, Tacoma, WA 98431-0001 2019-03-20
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Competitor

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City TACOMA
Zip Code 98431

Improve Information

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Dataset Information

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.

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