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CHARLES J SUPERNAVAGE MD PC NPI 1639337405


NPI Information

NPI: 1639337405
Provider Name: CHARLES J SUPERNAVAGE, MD, PC
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
201 S CLEVELAND AVE
SUITE 403
HAGERSTOWN, MD
ZIP 21740
Phone: (301) 739-0400
Get Directions

CHARLES J SUPERNAVAGE, MD, PC is an otolaryngology in Hagerstown, MD. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. CHARLES J SUPERNAVAGE, MD, PC NPI is 1639337405. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

201 S CLEVELAND AVE
SUITE 403
HAGERSTOWN, MD
ZIP 21740-745
Phone: (301) 739-0400
Fax: (301) 739-0402

The provider's authorized official is April C Evans .
The authorized official title is Office Manager and has the following contact phone number (301) 739-0400.

The enumeration date for this NPI number is 5/29/2008 and was last updated on 5/29/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1231H00000XAudiologist00963MARYLANDNo
2237600000XAudiologist-Hearing Aid Fitter00963MARYLANDNo
3207Y00000XOtolaryngologyD0026440MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B31957MEDICARE UPINMARYLAND
2314681200MEDICAIDMARYLAND
38290MEDICARE PINMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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