Charles P House Sr. (NPI# 1225007016, PAC ID# 9436114782) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1225007016 |
| PAC ID by PECOS | 9436114782 |
| Professional Enrollment ID | I20041130000051 |
| Full Name | Charles P House Sr. |
| Address |
700 W Maple St Clyde OH 43410-1414 |
| Phone Number | 4195470584 |
| Gender | M |
| Credential | DO |
| Medical School | UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | GENERAL PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360107 | BELLEVUE HOSPITAL |
| 360156 | MEMORIAL HOSPITAL |
| 360065 | FISHER-TITUS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 700 W Maple St, Clyde, OH 43410-1414 | 4195470584 |
| Street Address |
700 W MAPLE ST |
| City | CLYDE |
| State | OH |
| Zip | 43410-1414 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Edward Ball | Internal Medicine | Bellevue Professional Services Inc | 1005 W Mcpherson Hwy, Clyde, OH 43410-1001 |
| Andrea N Moore | Obstetrics/gynecology | Bellevue Professional Services Inc | 1005 W Mcpherson Hwy, Clyde, OH 43410-1001 |
| Jennifer L Kearney | Nurse Practitioner | North Coast Professional Company, LLC | 1470w Mcpherson Hwy, Clyde, OH 43410-1010 |
| Matthew N Widmer | Family Medicine | North Coast Professional Company, LLC | 1470w Mcpherson Hwy, Clyde, OH 43410-1010 |
| Jackie Rae Ruttino | Nurse Practitioner | North Coast Professional Company, LLC | 1470w Mcpherson Hwy, Clyde, OH 43410-1010 |
| Calley Anne Taylor | Physician Assistant | North Coast Professional Company, LLC | 1470w Mcpherson Hwy, Clyde, OH 43410-1010 |
| Peggy J Hart | Nurse Practitioner | North Coast Professional Company, LLC | 1470w Mcpherson Hwy, Clyde, OH 43410-1010 |
| Stephanie Jewell Breault | Nurse Practitioner | North Coast Professional Company, LLC | 1470w Mcpherson Hwy, Clyde, OH 43410-1010 |
| Anne M Hahn | Nurse Practitioner | North Coast Professional Company, LLC | 1470w Mcpherson Hwy, Clyde, OH 43410-1010 |
| Patricia Ann Hackenburg | Nurse Practitioner | North Coast Professional Company, LLC | 1470w Mcpherson Hwy, Clyde, OH 43410-1010 |
| Find all physicians in zip 43410 | |||
| City | CLYDE |
| Zip Code | 43410 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | CLYDE + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Charles P House Sr..
| 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.