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CHARLES DODDS MD NPI 1508962630


NPI Information

NPI: 1508962630
Provider Name: CHARLES DODDS, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
200 CLINIC DR
MADISONVILLE, KY
ZIP 42431
Phone: (270) 825-7200
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Charles Dodds, MD is a family medicine in Madisonville, KY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Charles Dodds, MD NPI is 1508962630. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

200 CLINIC DR
MADISONVILLE, KY
ZIP 42431-661
Phone: (270) 825-7200

The enumeration date for this NPI number is 9/16/2006 and was last updated on 12/7/2007.


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
1207Q00000XFamily Medicine16420KENTUCKYYes

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
10903692MEDICARE PIN
20396836MEDICARE PIN
3000000044319OTHERBCBS PROVIDER NUMBER
40374610MEDICARE PIN
564164205MEDICAIDKENTUCKY
616420OTHERKENTUCKYLICENSE
7F15663MEDICARE UPIN
80374704MEDICARE PIN

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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