DR. CHARLES PATRICK CHAULK (NPI# 1104250570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104250570 |
| Entity Type | Individual |
| Full Name | DR. CHARLES PATRICK CHAULK |
| Credential | M.D. |
| Practice Address |
622 Valley Ln Towson MD 21286-7311 |
| Practice Telephone | 4108288831 |
| Practice Fax Number | 4103968457 |
| Mailing Telephone | 4108288831 |
| Mailing Fax Number | 4103968457 |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2013-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 37179 | MD | Allopathic & Osteopathic Physicians |
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
37179 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
622 VALLEY LN |
| City | TOWSON |
| State | MD |
| Zip Code | 21286-7311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989042 | Osereme Nora Agboifo | Nurse Practitioner | 200 Ejoppa Rd Suite 106, Townson, MD 21286 | 2020-10-09 |
| 1801434543 | Bh Brightview Towson Opco, LLC | Alzheimer Center (Dementia Center) | 20 E. Burke Avenue, Baltimore, MD 21286 | 2019-12-12 |
| 1417598897 | Tyler Tuggle | Home Health Aide | 8601 Lasalle Rd., Suite 100, Towson, MD 21286 | 2019-10-07 |
| 1285289629 | Center for Creative Values Inc | Community/Behavioral Health | 515 E. Joppa Rd Suite 100 & 104, Towson, MD 21286 | 2019-08-02 |
| 1275195117 | Watermark Health Services | Chore Provider | 1045 Taylor Avenue Suite 106e, Towson, MD 21286 | 2019-07-01 |
| 1609337021 | Tyler James Howard | Psychologist | 8600 Lasalle Road Carroll Building, Suite 212, Towson, MD 21286 | 2019-03-28 |
| 1477019578 | Ruth Marie Collins | Counselor | 8501 Lasalle Rd., Suite 115, Towson, MD 21286 | 2019-02-13 |
| 1396200671 | Christian Dorry | Behavior Technician | Epic Developmental Services, 1026 Cromwell Bridge Rd, Towson, MD 21286 | 2019-01-31 |
| 1831667799 | Casey O'sullivan | Counselor | 1220 E. Joppa Rd., Bldg B, Ste 332, Towson, MD 21286 | 2018-11-08 |
| 1649763053 | Rosemary O Okpulor | Nurse Practitioner | 8510 Lasalle Rd, Suite 310, Towson, MD 21286 | 2018-06-11 |
| Find all providers in zip 21286 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871513713 | Deborah Coomes | Preventive Medicine | 8415 Bellona Ln, Suite 216, Towson, MD 21204-2055 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306486360 | World At Ease | Preventive Medicine | 8400 Cedar St, Silver Spring, MD 20910-5537 | 2020-01-08 |
| 1861051179 | Anil Rajpal | Preventive Medicine | 10903 New Hampshire Ave Rm 5132, Silver Spring, MD 20993-0002 | 2019-06-10 |
| 1205490505 | M. Miles Braun | Preventive Medicine | 13325 Bondy Way, Gaithersburg, MD 20878-2124 | 2019-04-23 |
| 1326585928 | Jesse Polansky | Preventive Medicine | 701 Gilmarys Rd, Baltimore, MD 21210-1416 | 2017-01-21 |
| 1225437775 | Patrick Kelley | Preventive Medicine | 1935 Kimberly Rd, Silver Spring, MD 20903-1221 | 2014-08-21 |
| 1346649027 | Maria Agelli | Preventive Medicine | 4853 Cordell Ave Apt 907, Bethesda, MD 20814-3024 | 2014-08-19 |
| 1326475864 | Gillian Ann Vanblerk | Preventive Medicine | 1657 Eton Way, Crofton, MD 21114-1512 | 2013-09-30 |
| 1790028231 | Karl C Klontz | Preventive Medicine | 5100 Paint Branch Pkwy, Hfs-005, College Park, MD 20740-3835 | 2013-04-03 |
| 1225370117 | Leslie G Ford | Preventive Medicine | 5533 Mohican Rd, Bethesda, MD 20816-2159 | 2013-03-19 |
| 1003154956 | David D Nicholas | Preventive Medicine | 7200 Wisconsin Ave, Suite 600, Bethesda, MD 20814-4811 | 2013-01-28 |
| Find all providers with the same taxonomy | ||||
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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.