Charles O Beauchamp (NPI# 1962593525, PAC ID# 0840379376) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1962593525 |
| PAC ID by PECOS | 0840379376 |
| Professional Enrollment ID | I20080508000330 |
| Full Name | Charles O Beauchamp |
| Address |
233 S W St Ahoskie NC 27910-3335 |
| Gender | M |
| Medical School | DUKE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340099 | VIDANT ROANOKE CHOWAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 233 S W St, Ahoskie, NC 27910-3335 |
| Street Address |
233 S W ST |
| City | AHOSKIE |
| State | NC |
| Zip | 27910-3335 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mahvish Muzaffar | Hematology | Vidant Medical Group LLC | 226 Academy St S, Ahoskie, NC 27910-2451 |
| Joseph E Tripp | Emergency Medicine | Vidant Medical Group LLC | 222 Academy St S, Ahoskie, NC 27910-2451 |
| Eileen Davies | Nurse Practitioner | Vidant Medical Group LLC | 226 Academy St S, Ahoskie, NC 27910-2451 |
| Kelly Mclean | Physician Assistant | Vidant Medical Group LLC | 226 Academy St S, Ahoskie, NC 27910-2451 |
| Percy E Braswell | Physician Assistant | Vidant Medical Group LLC | 226 Academy St S, Ahoskie, NC 27910-2451 |
| Roxanne Banks O'kelley | Clinical Social Worker | Integrated Family Services LLC | 312 Academy S St B, Ahoskie, NC 27910-3200 |
| Keith Poche | Clinical Social Worker | Integrated Family Services LLC | 312 Academy S St B, Ahoskie, NC 27910-3200 |
| Shanna Leigh May | Clinical Social Worker | Integrated Family Services LLC | 312 Academy S St B, Ahoskie, NC 27910-3200 |
| Lauren Chandler Nobles | Clinical Social Worker | Integrated Family Services LLC | 312 Academy S St B, Ahoskie, NC 27910-3200 |
| Stephanye A Kenyear | Nurse Practitioner | Integrated Family Services LLC | 312 Academy S St B, Ahoskie, NC 27910-3200 |
| Find all physicians in zip 27910 | |||
| City | AHOSKIE |
| Zip Code | 27910 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | AHOSKIE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Charles O Beauchamp.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.