CHARLES GREGORY HARTLEY II (NPI# 1477184588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477184588 |
| Entity Type | Individual |
| Full Name | CHARLES GREGORY HARTLEY II |
| Practice Address |
4315 Golf Club Dr Apt 7012 Auburn AL 36830-5981 |
| Practice Telephone | 2058340051 |
| Mailing Telephone | 2058340051 |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-01-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | S12676 | AL | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356374201 | Charles F Hartley | Internal Medicine | 115 E Long Lake Rd, Troy, MI 48085-5524 | 2006-07-07 |
| 1659379642 | Charles Bryce Hartley II | Internal Medicine | 2045 Peachtree Rd Ne, Suite T1, Atlanta, GA 30309-1414 | 2005-07-13 |
| Street Address |
4315 GOLF CLUB DR APT 7012 |
| City | AUBURN |
| State | AL |
| Zip Code | 36830-5981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366072878 | Jayson Patrick Hairston | Student in an Organized Health Care Education/Training Program | 1188 Opelika Rd Building 700 Unit 1, Auburn, AL 36830 | 2020-01-23 |
| 1477106417 | Dunn Psychological Services, LLC | Clinic/Center | 2204 Ogletree Village Lane, Suite B, Auburn, AL 36830 | 2019-07-18 |
| 1487117982 | East Alabama Apothecary LLC | Pharmacy | 665 Opelika Roade, Suite 400, Auburn, AL 36830 | 2019-04-11 |
| 1558822759 | Shelley Orthodontics LLC | Dentist | 1957 E. Samford Ave., Ste A, Auburn, AL 36830 | 2019-03-29 |
| 1811454903 | Auburn Pharmacy | Pharmacy | 643 North Dean Road, Auburn, AL 36830 | 2019-02-25 |
| 1386121473 | Joshua D Mathis Dds LLC | Clinic/Center | 2311 Bent Creek Rd., Ste 500, Auburn, AL 36830 | 2018-07-23 |
| 1790213866 | Amy Morton Dean | Pharmacist | 717 Queens, Auburn, AL 36830 | 2017-06-01 |
| 1629519558 | Laura Walton Bell | Nurse Practitioner | 1702 Catherine Ct, Auburn, AL 36830 | 2017-03-11 |
| 1952857229 | North Dean Dental, P.C. | Clinic/Center | 867 North Dean Road, Auburn, AL 36830 | 2016-08-28 |
| 1871960302 | Beverly Harrison Doyle | Physical Therapist | 2515 E. Glenn Ave., Ste 104, Auburn, AL 36830 | 2015-09-01 |
| Find all providers in zip 36830 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890449 | Chad Savaikie | Student in an Organized Health Care Education/Training Program | 801 15th St Ne, Auburn, WA 98002-3337 | 2020-11-01 |
| 1538776265 | Kevin Gauthier | Student in an Organized Health Care Education/Training Program | 7361 Owasco Rd, Auburn, NY 13021-5111 | 2020-09-27 |
| 1588285977 | Robert Rousseau | Student in an Organized Health Care Education/Training Program | 745 W Auburn Rd, Auburn, ME 04210-8506 | 2020-04-27 |
| 1851923650 | Kendranne Ford | Student in an Organized Health Care Education/Training Program | 1411 Quinten Dr, Auburn, IN 46706-3073 | 2020-02-10 |
| 1740810258 | Sarah Katherine Powell | Student in an Organized Health Care Education/Training Program | 552 Mary Ln, Auburn, AL 36830-3439 | 2020-01-23 |
| 1033749544 | Jessica Hardage | Student in an Organized Health Care Education/Training Program | 1322 N Dean Rd, Auburn, AL 36830-7638 | 2020-01-23 |
| 1609406123 | Eric Schueller | Student in an Organized Health Care Education/Training Program | 1890 S Ashe Ct, Auburn, AL 36830-2688 | 2020-01-23 |
| 1841820354 | Javier Alejandro Urbina | Student in an Organized Health Care Education/Training Program | 1268 Britnee Ct, Auburn, AL 36830-1814 | 2020-01-23 |
| 1396375804 | Ayzia Gholston | Student in an Organized Health Care Education/Training Program | 845 W Glenn Ave, Auburn, AL 36832-7671 | 2020-01-23 |
| 1891325304 | Harrison Gregory Hightower | Student in an Organized Health Care Education/Training Program | 1994 Longview Ct, Auburn, AL 36832-6932 | 2020-01-23 |
| Find all providers in AUBURN | ||||
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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.