DR. CHARLES RANDALL POWELL JR. (NPI# 1013125871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013125871 |
| Entity Type | Individual |
| Full Name | DR. CHARLES RANDALL POWELL JR. |
| Credential | M.D. |
| Practice Address |
535 Barnhill Dr. Indianapolis IN 46202 |
| Practice Telephone | 3172744622 |
| Practice Fax Number | 3172740174 |
| Mailing Telephone | 3172744622 |
| Mailing Fax Number | 3172740174 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2014-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 01066313A | IN | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 37723 | IA | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 125044893 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200950830 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295100717 | Charles Powell | Physician Assistant | 66350 Hampton Pl, Ft Riley, KS 66442-1312 | 2015-12-09 |
| 1396981833 | Charles Powell | Psychologist | 2435 King Blvd Ste 313, Casper, WY 82604-3169 | 2009-01-06 |
| 1528024064 | Charles Richard Powell | Dentist | 28577 Buffalo Park Rd, Suite 260, Evergreen, CO 80439-7370 | 2006-04-24 |
| 1255305116 | Charles Anthony Powell | Dentist | 13065 E 17th Ave Rm 130k, Mail Stop F847, Aurora, CO 80045-2532 | 2006-02-15 |
| 1346246105 | Charles Wesley Powell | Pediatrics | 201 N 13th St, Louisburg, KS 66053-3520 | 2005-06-24 |
| 1356344675 | Charles T. Powell Jr. | Dentist | 1303 South Pearl Street, Pageland, SC 29728 | 2005-05-31 |
| 1437769783 | Charles Payne Powell | Physical Therapist | 285 Boulevard Ne Ste 310, Atlanta, GA 30312-4209 | 2020-08-02 |
| 1235691197 | Charles Walker Powell | Student in an Organized Health Care Education/Training Program | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2019-04-01 |
| 1477013381 | Charles Hill Powell IIi | Physician Assistant | 5779 Creekwood Park Blvd, Lenoir City, TN 37772-1203 | 2019-03-25 |
| 1922176072 | Charles Andrew Powell | Internal Medicine | 5 E 98th St, New York, NY 10029 | 2006-11-30 |
| Street Address |
535 BARNHILL DR. |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336752799 | Mark Alexander Assmus | Urology | 1801 Senate Blvd Ste 220, Indianapolis, IN 46202-1260 | 2020-08-26 |
| 1376960302 | Mohammad Mahmoud | Urology | 535 Barnhill Dr Ste 150, Indianapolis, IN 46202-5116 | 2014-03-27 |
| 1114364064 | Alexander J Tatem | Urology | 8240 Naab Rd Ste 220, Indianapolis, IN 46260-1950 | 2013-06-03 |
| 1154681369 | Joshua David Roth | Urology | 705 Riley Hospital Dr Ste 4230, Indianapolis, IN 46202-5109 | 2012-05-22 |
| 1942588462 | Naeem Bhojani | Urology | 700 N Alabama St, Apt 613, Indianapolis, IN 46204-1330 | 2011-08-01 |
| 1477844637 | Helen L Bernie | Urology | 1801 N Senate Ave Ste 220, Indianapolis, IN 46202 | 2011-04-22 |
| 1386956019 | Aaron T Ludwig | Urology | 8240 Naab Rd Ste 200, Indianapolis, IN 46260-1986 | 2010-07-10 |
| 1841307667 | Michael C Risk | Urology | 535 Barnhill Dr Ste 420, Indianapolis, IN 46202-5116 | 2006-08-25 |
| 1275526899 | James Andrew Dugan | Urology | 8091 Township Line Rd, Ste 109, Indianapolis, IN 46260 | 2005-08-30 |
| 1225558810 | Lauren Rebecca Abrams | Urology | 535 Barnhill Dr Ste 150, Indianapolis, IN 46202-5116 | 2017-06-23 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.