CAMERON M CHARCHENKO


Address: 900 E Broadway Ave, Bismarck, ND 58501-4520
Phone: 7015307000

CAMERON M CHARCHENKO (NPI# 1750676201) 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) 1750676201
Entity Type Individual
Full Name CAMERON M CHARCHENKO
Credential MD
Practice Address 900 E Broadway Ave
Bismarck
ND 58501-4520
Practice Telephone 7015307000
Mailing Telephone 7015307000
Enumeration Date 2011-06-13
Last Update Date 2019-04-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 55241 MN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MN RAILROAD MEDICARE P01226100 01

Office Location

Street Address 900 E BROADWAY AVE
City BISMARCK
State ND
Zip Code 58501-4520

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720087000 Kym L Chandler Neurological Surgery 900 E Broadway Ave, Bismarck, ND 58501-4520 2005-07-19
1538769633 Brenton Michael Green Physician Assistant 900 E Broadway Ave, Bismarck, ND 58501-4520 2020-10-28
1679186852 Carly Marie Meyer Pharmacist 900 E Broadway Ave, Bismarck, ND 58501-4520 2020-08-26
1164030169 Heather Brooke Flaa Physician Assistant 900 E Broadway Ave, Bismarck, ND 58501-4520 2020-07-16
1699393454 Alexis Schulz Nurse Practitioner 900 E Broadway Ave, Bismarck, ND 58501-4520 2020-07-08
1457971012 Byul You Pharmacist 900 E Broadway Ave, Bismarck, ND 58501-4520 2020-04-23
1962021618 Amanda Mcglasson Pharmacist 900 E Broadway Ave, Bismarck, ND 58501-4520 2020-04-13
1336772839 Deanne Hice Nurse Anesthetist, Certified Registered 900 E Broadway Ave, Bismarck, ND 58501-4520 2020-02-13
1538707898 Jenna Etzold Psychologist 900 E Broadway Ave, Bismarck, ND 58501-4520 2019-12-18
1548811169 Sarah Skeie Nurse Practitioner 900 E Broadway Ave, Bismarck, ND 58501-4520 2019-09-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811500911 Sonja Lee Bosch Counselor 101 E. Broadway Ave Heartview Foundation, Bismarck, ND 58501 2020-08-28
1649740630 Stephanie Marie Simburger Social Worker 3111 East Broadway Ave, Bismarck, ND 58501 2018-12-03
1679042519 Prairie Rose Family Dentists Dentist 1110 College Dr., Suite 110, Bismark, ND 58501 2018-11-21
1386111276 Arielle Joy Flynn Genetic Counselor, MS 414 N Seventh Street, Bismarck, ND 58501 2018-10-29
1164901799 Karalee Joy Harper Counselor 101 E. Broadway Ave, Bismarck, ND 58501 2018-08-14
1518457811 Myckenzie Saari Behavior Technician 1929 N Washington St., Bismarck, ND 58501 2018-05-14
1831687532 Jacquelyn Mahoney Behavioral Analyst 604 North Ave, Bismarck, ND 58501 2018-04-27
1710403811 Kayla Marie Watson Behavior Technician 1500 E. Capitol Ave, Suite 200, Bismarck, ND 58501 2017-08-21
1306368220 Scott Vandyke Occupational Therapist 300 N. 7th St, Bismarck, ND 58501 2017-07-12
1144670019 Bismarck Psychological Associates, Pllc Psychologist 107 W. Main Ave., Suite 225, Bismarck, ND 58501 2016-06-21
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912947847 Robert Allen Pathroff Urology 225 North 7th Street, Bismarck, ND 58501 2006-06-08
1255827697 Karim Courtemanche Urology 222 N 7th St, Bismarck, ND 58501-4436 2018-07-09
1902015217 Christopher Paul Cost Urology 900 E Broadway Ave, Bismarck, ND 58501-4520 2007-05-22
1700997780 Nadim Koleilat Urology 222 N 7th St, Bismarck, ND 58501-4436 2006-08-31
1427160860 Leslie M Rainwater Urology 900 E Broadway Ave, Bismarck, ND 58501 2006-08-31
1679587422 Todd A Gray Urology 900 E Broadway Ave, Bismarck, ND 58501-4520 2006-07-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811190465 Medcenter One Inc Urology 12 1st St W, City Center Plaza, Dickinson, ND 58601-5106 2007-06-08
1326178013 Alan F.h. Lim, M.d., P.C. Urology 20 Burdick Expy W Ste 202, Minot, ND 58701-4498 2007-03-06
1508933144 Dr Steven Schultz Md PC Urology 3375 De Mers Ave, Grand Forks, ND 58201 2006-11-29
1578529392 Salem Shehadeh Shahin Urology 1219 Knoll St, Williston, ND 58801 2006-04-21
1831519388 Archana Rajender Urology 3000 32nd Ave S, Fargo, ND 58103-6132 2014-04-23
1295179687 Eric Andrew Schommer Urology 801 Broadway N, Fargo, ND 58102 2013-04-29
1326301250 Philip M. Wanzek Urology 3000 32nd Ave S, Fargo, ND 58103-6132 2012-06-15
1205104080 Salem S Shahin Md PC Urology 1219 Knoll St, Williston, ND 58801-3234 2011-12-07
1710125893 Brent Richard Williams Urology 801 Broadway N, Fargo, ND 58102-3641 2009-01-28
1255592903 Cordell Ross Davis Urology 4440 S Washington St, Grand Forks, ND 58201-7245 2008-06-24
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City BISMARCK
Zip Code 58501

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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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