EUGENE M.R. CHARLEBOIS


Address: 269 S Candy Ln, Cottonwood, AZ 86326-4158
Phone: 9286396172

EUGENE M.R. CHARLEBOIS (NPI# 1356345383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356345383
Entity Type Individual
Full Name EUGENE M.R. CHARLEBOIS
Credential DO
Practice Address 269 S Candy Ln
Cottonwood
AZ 86326-4158
Mailing Address 1200 N Beaver St
Flagstaff
AZ 86001-3118
Practice Telephone 9286396172
Practice Fax Number 9286396682
Mailing Telephone 9282136235
Mailing Fax Number 9282136292
Enumeration Date 2005-06-08
Last Update Date 2020-09-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine 007862 AZ Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 1674 ME Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
ME 33604099 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
74 Water St, Oakland, ME 049634957 2074657342 2074657394

Office Location

Street Address 269 S CANDY LN
City COTTONWOOD
State AZ
Zip Code 86326-4158

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306463740 Riley Benjamin Johnson Dietitian, Registered 269 S Candy Ln, Cottonwood, AZ 86326-4158 2020-07-01
1821619891 Joshua Thomas Haywood Student in an Organized Health Care Education/Training Program 269 S Candy Ln, Cottonwood, AZ 86326-4158 2020-04-30
1396364162 Jeremy Schmoyer Student in an Organized Health Care Education/Training Program 269 S Candy Ln, Cottonwood, AZ 86326-4158 2020-04-13
1144849993 Miranda Rose Anderson Student in an Organized Health Care Education/Training Program 269 S Candy Ln, Cottonwood, AZ 86326-4158 2020-04-12
1659900876 Eddie Khav Student in an Organized Health Care Education/Training Program 269 S Candy Ln, Cottonwood, AZ 86326-4170 2020-04-08
1790314961 Michelle Anne Pope Student in an Organized Health Care Education/Training Program 269 S Candy Ln, Cottonwood, AZ 86326-4158 2020-04-08
1699320390 Emily Kathryn Danca Dietitian, Registered 269 S Candy Ln, Cottonwood, AZ 86326-4158 2019-08-08
1760036909 Tarra Denise Young Nurse Practitioner 269 S Candy Ln, Cottonwood, AZ 86326-4158 2019-07-25
1275195950 Samer Saeed Hasson Student in an Organized Health Care Education/Training Program 269 S Candy Ln, Cottonwood, AZ 86326-4158 2019-07-02
1962062455 Juan Pablo Vargas Student in an Organized Health Care Education/Training Program 269 S Candy Ln, Cottonwood, AZ 86326-4170 2019-06-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679954895 Isabelle Maisse Griffith Pharmacist 1100 E Highway 89a, Cottonwood, AZ 86326 2015-06-12
1184982266 Northern Arizona Healthcare Provider Group, LLC Family Medicine 450 South Willard Street, Cottonwood, AZ 86326 2012-04-26
1922391663 Ronald D. Carsrud Hearing Instrument Specialist 657 E Cottonwood St., Ste 6c, Cottonwood, AZ 86326 2011-05-26
1760712749 Chuck Thomas Calvano Pharmacist 550 S Main, Cottonwood, AZ 86326 2010-01-13
1528231438 Elizabeth Lightner Mccarrell Emergency Medicine 269 S Candy Lane, Cottonwood, AZ 86326 2008-04-11
1972783355 The Wick Home for Emotional Growth and Recovery Residential Treatment Facility, Emotionally Disturbed Children 2102 E Fir St, Cottonwood, AZ 86326 2007-11-14
1750560165 David T Sayle Nurse Practitioner 800 Cove Parkway, Cottonwood, AZ 86326 2007-11-01
1003001033 Country Care Inc Assisted Living Facility 3980 E Cassie Lane, Cottonwood, AZ 86326 2007-09-12
1154527778 Laurel A Mueller Family Medicine 51 Brian Mickelsen Pkwy, Community Health Center of Yavapai, Cottonwood, AZ 86326 2007-06-21
1841401700 Bruce Alan Moseng Chiropractor 240 Jennifer Lane, Ste 103, Cottonwood, AZ 86326 2007-05-24
Find all providers in zip 86326

Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528231438 Elizabeth Lightner Mccarrell Emergency Medicine 269 S Candy Lane, Cottonwood, AZ 86326 2008-04-11
1649366691 Linette Cristine Calvo Emergency Medicine 20833 Long Branch Dr, Cottonwood, CA 96022-8701 2006-10-05
1083094239 Connie Strouse Emergency Medicine 269 S Candy Ln, Cottonwood, AZ 86326 2015-06-03
1922486042 Oak Creek Emergency Physicians LLC Emergency Medicine 269 S Candy Ln, Cottonwood, AZ 86326-4158 2015-05-08
1548647472 Sean Larsen Emergency Medicine 269 S Candy Ln, Cottonwood, AZ 86326-4158 2015-04-29
1962820142 Ronald Lavoie Emergency Medicine 269 S Candy Ln, Cottonwood, AZ 86326-4158 2014-04-03
1194013359 Corrine Walker Emergency Medicine 269 S Candy Ln, Cottonwood, AZ 86326-4158 2011-07-21
1780983312 Jacob D. Shank Emergency Medicine 269 S Candy Ln, Cottonwood, AZ 86326-4158 2011-03-22
1356641682 Emergency Medicine Physicians of Yavapai County, Pllc Emergency Medicine 269 S Candy Ln, Cottonwood, AZ 86326-4158 2010-11-03
1235447079 Emergency Physicians Medical Group, Inc Emergency Medicine 269 S Candy Ln, Cottonwood, AZ 86326-4158 2010-09-15
Find all providers in COTTONWOOD

Competitor

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City COTTONWOOD
Zip Code 86326

Improve Information

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Dataset Information

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.

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