Charles Mcfatter (NPI# 1356343644, PAC ID# 1456535566) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1356343644 |
| PAC ID by PECOS | 1456535566 |
| Professional Enrollment ID | I20110414000705 |
| Full Name | Charles Mcfatter |
| Organization Legal Name | GYNDOC, LLC |
| Address |
131 E Redstone Ave Suite 109 Crestview FL 32539-5355 |
| Phone Number | 8506831100 |
| Gender | M |
| Medical School | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 1968 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 9739363847 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100292 | SACRED HEART HOSPITAL ON THE EMERALD COAST |
| Address | Phone | Organization |
|---|---|---|
| 131 E Redstone Ave, Suite 109, Crestview, FL 32539-5355 | 8506831100 | GYNDOC, LLC |
| 131 E Redstone Ave, Crestview, FL 32539-5355 | 8506831100 | GYNDOC, LLC |
| Organization Legal Name | GYNDOC, LLC |
| Physicians | 1 |
| Street Address |
131 E REDSTONE AVE SUITE 109 |
| City | CRESTVIEW |
| State | FL |
| Zip | 32539-5355 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stricker Coles Mays Ii | Obstetrics/gynecology | 131 E Redstone Ave, Suite 109, Crestview, FL 32539-5355 | |
| Abdul Mir | Internal Medicine | 131 E Redstone Ave, Suite 101, Crestview, FL 32539-5355 | |
| Indumathi Christopher | Family Medicine | 131 E Redstone Ave, Suite 107, Crestview, FL 32539-5355 | |
| Susan Griffin | Nurse Practitioner | Stricker Mays Md, Pa | 131 E Redstone Ave, Suite 109, Crestview, FL 32539-5355 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carla J Bulla | Physical Therapy | 521 E Cedar Ave, Crestview, FL 32539-2803 | |
| Tanesha N Turner | Nurse Practitioner | Minute Clinic LLC | 302 E James Lee Blvd, Crestview, FL 32539-2827 |
| Sally A Cooper | Family Medicine | Florida Department of Health | 810 E James Lee Blvd, Crestview, FL 32539-3118 |
| Michelle L Milligan | Clinical Social Worker | Ppcc, Inc. | 259 E Oakdale Ave, Crestview, FL 32539-3547 |
| Nina J Gawlik | Psychologist, Clinical | Ppcc, Inc. | 259 E Oakdale Ave, Crestview, FL 32539-3547 |
| Lisa Burner | Clinical Social Worker | Ppcc, Inc. | 259 E Oakdale Ave, Crestview, FL 32539-3547 |
| Trista Shari Moffett | Clinical Social Worker | Ppcc, Inc. | 259 E Oakdale Ave, Crestview, FL 32539-3547 |
| Daran J Mason | General Surgery | North Okaloosa Clinic Corp | 550 W Redstone Ave, Suite 410, Crestview, FL 32539-4657 |
| David A Norfleet | Anesthesiology | Okaloosa Pain Consultants P A | 150 E Redstone Ave, Crestview, FL 32539-5322 |
| Vicente A Mendez | Internal Medicine | North Okaloosa Clinic Corp | 130 E Redstone Ave, Crestview, FL 32539-5348 |
| Find all physicians in zip 32539 | |||
| City | CRESTVIEW |
| Zip Code | 32539 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | CRESTVIEW + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Charles Mcfatter.
| 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.