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DR. NELSON CHARLIE M.D. NPI 1811998982


NPI Information

NPI: 1811998982
Provider Name: DR. NELSON CHARLIE, M.D.
Classification: Dermatology - 207N00000X
Entity Type: Individual
Organization: NELSON CHARLIE MD PA

PECOS Registration: Yes

CLIA Number: 10D1026231

Address:
1800 SE 10TH AVE
SUITE 305
FORT LAUDERDALE, FL
ZIP 33316
Phone: (954) 467-4100
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DR. Nelson Charlie, M.D. is a dermatology in Fort Lauderdale, FL with 28 years of experience. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. DR. Nelson Charlie, M.D. NPI is 1811998982. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: YALE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1996

The provider's business location address is:

1800 SE 10TH AVE
SUITE 305
FORT LAUDERDALE, FL
ZIP 33316-901
Phone: (954) 467-4100
Fax: (954) 467-4080

The NPI 1811998982 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 10D1026231 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Destruction of skin growth (HCPCS:17000)
  • Biopsy of single growth of skin and/or tissue (HCPCS:11100)
  • Biopsy of each additional growth of skin and/or tissue (HCPCS:11101)

The enumeration date for this NPI number is 8/10/2005 and was last updated on 5/3/2013.


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
1207NS0135XDermatologyProcedural DermatologyME85619FLORIDANo
2207N00000XDermatologyME85619FLORIDAYes

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
1H18810MEDICARE UPINFLORIDA
2K6017MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
3K6017MEDICARE PINFLORIDA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.