DR. CHARLES WAYNE CALVERT (NPI# 1659592012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659592012 |
| Entity Type | Individual |
| Full Name | DR. CHARLES WAYNE CALVERT |
| Credential | D.O. |
| Practice Address |
546 E Sandy Lake Rd Suite 210 Coppell TX 75019-5786 |
| Practice Telephone | 9722587426 |
| Practice Fax Number | 9728704926 |
| Mailing Telephone | 9722587426 |
| Mailing Fax Number | 9728704926 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2016-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | M6063 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 197724103 | 05 | |
| TX | MEDICARE | 368267YZNA | 01 |
| Street Address |
546 E SANDY LAKE RD SUITE 210 |
| City | COPPELL |
| State | TX |
| Zip Code | 75019-5786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235185216 | Sandy Lake Chiropractic | Chiropractor | 546 E Sandy Lake Rd, Suite 110, Coppell, TX 75019-5786 | 2006-05-25 |
| 1255885174 | Robert Chen Md Pllc | Anesthesiology | 546 E Sandy Lake Rd, Suite 250, Coppell, TX 75019-5786 | 2016-08-09 |
| 1912355447 | Jason Marchetti Md Pa | Physical Medicine & Rehabilitation | 546 E Sandy Lake Rd, Suite 250, Coppell, TX 75019-5786 | 2016-05-25 |
| 1376918862 | Shannon Profanchik | Nurse Practitioner | 546 E Sandy Lake Rd, Coppell, TX 75019-5786 | 2015-12-09 |
| 1922353358 | Slarod | Clinic/Center | 546 E Sandy Lake Rd, 100, Coppell, TX 75019-5786 | 2012-07-23 |
| 1124194170 | Stephen Ward | Chiropractor | 546 E Sandy Lake Rd, Suite 110, Coppell, TX 75019-5786 | 2006-11-28 |
| 1629144688 | Medical Edge Healthcare Group Pa | Clinic/Center | 546 E Sandy Lake Rd, Suite 210a, Coppell, TX 75019-5786 | 2006-11-28 |
| 1164510079 | Michael James Bologna | Chiropractor | 546 E Sandy Lake Rd, Suite 110, Coppell, TX 75019-5786 | 2006-10-10 |
| 1164445987 | Janet Stone Gonzalez | Dentist | 546 E Sandy Lake Rd, Ste 240, Coppell, TX 75019-5786 | 2006-07-25 |
| 1780629469 | Jason Marc Marchetti | Physical Medicine & Rehabilitation | 546 E Sandy Lake Rd, Ste 250, Coppell, TX 75019-5791 | 2006-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366065997 | Siai, Pllc | Pain Medicine | 149 E State Highway 121, Suite 105, Coppell, TX 75019 | 2020-05-18 |
| 1609498146 | Carie Medical Group (de), P.a. | Internal Medicine | 8951 Cypress Waters Blvd., Suite 160-1045, Dallas, TX 75019 | 2020-05-07 |
| 1154981983 | Coe Dentistry Pllc | Dentist | 137 Sh 121, Ste 110, Coppell, TX 75019 | 2019-06-14 |
| 1831655695 | Nicole Erhart | Physical Therapist | 3100 Olympus Blvd, Suite 500, Dallas, TX 75019 | 2019-02-18 |
| 1780140467 | Leah Faith Fifelski | Physical Therapist | 3100 Olympus Blvd. Suite 500, Dallas, TX 75019 | 2019-02-18 |
| 1780140988 | Living Euphoria, LLC | Community/Behavioral Health | 106 N Denton Tap Rd Ste 210 #151, Coppell, TX 75019 | 2019-02-13 |
| 1982176954 | Katie Cunningham | Physical Therapist | 3100 Olympus Blvd Ste 500, Coppell, TX 75019 | 2019-01-01 |
| 1659853000 | Shelley Kniss | Licensed Vocational Nurse | 1717 E Beltline Rd Apt 1323, Coppell, TX 75019 | 2018-09-02 |
| 1881197705 | Natasha Paulina Boylan | Speech-Language Pathologist | 370 W Highway 121, Ste. 105, Coppell, TX 75019 | 2018-03-16 |
| 1407354392 | Mahvash Roya Soltani | Nurse Practitioner | 1323 Barrington Dr., Coppell, TX 75019 | 2018-01-25 |
| Find all providers in zip 75019 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003356759 | Dr. Murphy Medical Care P.a. | Family Medicine | 897 N Macarthur Blvd, Suite 110, Coppell, TX 75019-2705 | 2017-02-28 |
| 1336572759 | Questcare Medical Clinics Pllc | Family Medicine | 215 Denton Tap Road, Suite 170, Coppell, TX 75019-5066 | 2013-08-21 |
| 1194064519 | Jaiswal LLC | Family Medicine | 765 Chalais Ct, Coppell, TX 75019-4589 | 2013-02-05 |
| 1932463403 | Gail Renee Killion-lawson | Family Medicine | 651 N. Denton Tap Road, #100, Coppell, TX 75019 | 2012-06-29 |
| 1801152913 | Kiet Tuan Truong | Family Medicine | 645 E St Hwy 121, Coppell, TX 75019-7942 | 2012-04-03 |
| 1407094543 | Las Colinas Primary Care Pllc | Family Medicine | 215 S Denton Tap Rd, Suite 170, Coppell, TX 75019-3229 | 2009-01-28 |
| 1699959031 | Neighborhood Medical Care | Family Medicine | 171 N Denton Tap Rd Ste 200, Coppell, TX 75019-2916 | 2007-12-20 |
| 1972703957 | Sharlene Selvaratnam | Family Medicine | 1234 Lakeshore Dr Ste 400, Coppell, TX 75019-4971 | 2007-07-19 |
| 1285851865 | Victor Burgos | Family Medicine | 601 Canyon Drive Suite 100, Coppell, TX 75019 | 2007-04-18 |
| 1952401358 | Sandra Peyton | Family Medicine | 546 E Sandy Lake Rd Ste 210, Coppell, TX 75019-5786 | 2006-09-25 |
| Find all providers in COPPELL | ||||
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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.