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CHARLES J SUPERNAVAGE MD, NPI 1720080963

Otolaryngology in HAGERSTOWN, MD

Last Updated on : Aug 10,2015

CHARLES J SUPERNAVAGE MD, NPI 1720080963

About CHARLES J SUPERNAVAGE (NPI 1720080963)


CHARLES J SUPERNAVAGE is an Otolaryngology provider in HAGERSTOWN, United States. His medical specialization is Otolaryngology .

1720080963 is NPI number of CHARLES J SUPERNAVAGE.

CHARLES J SUPERNAVAGE's primary taxonomy code based on NPI Lookup is 207Y00000X with license number D0026440. This taxonomy code refers to Otolaryngology.

CHARLES J SUPERNAVAGE has more than 17 years of experience.

CHARLES J SUPERNAVAGE current practice location address is 1800 DUAL HIGHWAY, HAGERSTOWN, MD. CHARLES J SUPERNAVAGE can be reached out via phone at 301-739-0400 and via fax at 301-739-0402 .

You can also correspond with CHARLES J SUPERNAVAGE through mail at mailing address 1800 DUAL HWY 303, HAGERSTOWN, MD, United States. Mailing address contact number is 301-739-0400.

The enumeration date of CHARLES J SUPERNAVAGE is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 8 years ago.

1720080963 NPI Information

Basic NPI information of CHARLES J SUPERNAVAGE (NPI 1720080963) is provided below.

Name CHARLES J SUPERNAVAGE
National Provider Id (NPI) 1720080963
Entity Type Individual
Gender M
Credential MD
Practice Address 1800 DUAL HIGHWAY, SUITE 303
HAGERSTOWN, MD, United States
Practice Telephone 301-739-0400
Practice Fax Number 301-739-0402
Mailing Address 1800 DUAL HWY 303 ,
HAGERSTOWN, MD, United States
Mailing Telephone 301-739-0400
Mailing Fax Number 301-739-0402
Enumeration Date 01-Jun-2005
Last Updated Date 10-Aug-2015

CHARLES J SUPERNAVAGE (NPI 1720080963) Primary Taxonomy Information

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.

Primary Taxonomy Code Clasification License Number License State
Y 207Y00000X Otolaryngology D0026440 MD

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.

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type/Code Identifier State Identifier Issuer
214080 Other (non-Medicare) (01) MD MAMSI ID #
314681200 MEDICAID (05) MD
36496001 Other (non-Medicare) (01) MD CareFirst Blue Shield ID
770413 Other (non-Medicare) (01) Aetna ID #
8290 MEDICARE ID-Type Unspecified (04)
B31957 MEDICARE UPIN (02)

CHARLES J SUPERNAVAGE (NPI 1720080963) Office Location

Office location of CHARLES J SUPERNAVAGE is provided in the Google maps below.

Providers in same location

Here are a few of the other providers in the same location.

NPI Name Taxonomy Address Enumeration date
1285612341 JAMES L HARPER Optometrist 50 N PERRY ST,
HAGERSTOWN, IN, United States
08-Jan-2006
1245380153 BRUCE ALAN RUETER Physical Therapist 12697 SWOVELAND RD,
HAGERSTOWN, IN, United States
11-Jan-2007
1427199611 MICHELLE C. SIEGMAN Audiologist 115 E MAIN ST, SUITE 3
HAGERSTOWN, IN, United States
09-Feb-2007
1437471539 MATHEW MATANICH Specialist/Technologist, Athletic Trainer 198 W NORTHMARKET ST,
HAGERSTOWN, IN, United States
17-Feb-2010
1578608121 WILLIAM P CORNILS Dentist PO BOX 188, 449 E MAIN STREET
HAGERSTOWN, IN, United States
21-Feb-2007
1295870855 ASHLEY R CORNILS GOLLIHER Dentist PO BOX 188, 449 E MAIN STREET
HAGERSTOWN, IN, United States
21-Feb-2007
1992720890 CLIFF S. WRIGHT Chiropractor 49 E MAIN ST,
HAGERSTOWN, IN, United States
12-Jul-2006
1366894594 GUARDIAN HOME CARE, INC Home Health 37 E MAIN ST,
HAGERSTOWN, IN, United States
12-Jul-2016
1629097704 GRAY FUNERAL HOME INC Ambulance 51 SOUTH WASHINGTON STREET,
HAGERSTOWN, IN, United States
19-Jul-2006
1245586700 REID PHYSICIAN ASSOCIATES, INC Clinic/Center, Rural Health 4829 N STATE ROAD 1,
HAGERSTOWN, IN, United States
01-Aug-2012
1144451527 TAYLOR GRANT WALDEN Optometrist 50 N PERRY ST,
HAGERSTOWN, IN, United States
03-Aug-2009
1871826610 ELIZABETH JANE MOORE Nurse Practitioner, Psych/Mental Health 410 NORTH 10TH STREET,
RICHMOND, IN, United States
11-Sep-2009
1306170345 HAGERSTOWN FAMILY DENTISTRY Clinic/Center, Dental 49 W WALNUT ST,
HAGERSTOWN, IN, United States
23-Sep-2009
1508948373 SUSAN B. JULIAN Nurse Practitioner, Family 61 E MAIN ST, PO BOX 205
HAGERSTOWN, IN, United States
20-Oct-2006
1447337530 HCMH DIVERSIFIED MANAGEMENT CORPORATION Pharmacy 25 WEST MAIN ST,
HAGERSTOWN, IN, United States
01-Nov-2006
1316343817 CYNTHIA KELLY Occupational Therapy Assistant 6698 LACY RD,
HAGERSTOWN, IN, United States
10-Nov-2014
1124458765 ERIN ALEXIS SHADLE Counselor, Mental Health 10544 DALTON RD,
HAGERSTOWN, IN, United States
18-Nov-2013
1285709022 JAMES B GERNI Chiropractor 449 E MAIN ST STE 201,
HAGERSTOWN, IN, United States
21-Nov-2006
1912075045 MARTHA B. BOWMAN Counselor, Mental Health PO BOX 204,
MOORELAND, IN, United States
30-Nov-2006
1073816252 CULBERSON AMBULANCE SERVICE, INC. Ambulance 51 S WASHINGTON ST,
HAGERSTOWN, IN, United States
10-Dec-2010

How to check whether NPI 1063496693 is valid?

The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

FAQs

Whose NPI Number is 1720080963?

1720080963 is the NPI number of CHARLES J SUPERNAVAGE.

What is the specialty for CHARLES J SUPERNAVAGE?

The Specialty of CHARLES J SUPERNAVAGE is Otolaryngology.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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