CRAIG A CHARLESTON


Address: 755 N 11th St, Suite P5600, Beaumont, TX 77702-1517
Phone: 4098924600

CRAIG A CHARLESTON (NPI# 1952386435) 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) 1952386435
Entity Type Individual
Full Name CRAIG A CHARLESTON
Credential MD
Practice Address 755 N 11th St
Suite P5600
Beaumont
TX 77702-1517
Practice Telephone 4098924600
Practice Fax Number 4098924605
Mailing Telephone 4098924600
Mailing Fax Number 4098924605
Enumeration Date 2005-12-07
Last Update Date 2008-05-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207L00000X Anesthesiology L9653 TX Allopathic & Osteopathic Physicians
Y 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
L9653 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 175366701 05
TX BLUE CROSS 8S9650 01

Office Location

Street Address 755 N 11TH ST
SUITE P5600
City BEAUMONT
State TX
Zip Code 77702-1517

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841293909 Alfred B. Brady Jr. Internal Medicine 755 N 11th St, Ste P2200, Beaumont, TX 77702-1500 2005-05-23
1285171256 Lance T. Mendoza Nurse Anesthetist, Certified Registered 755 N 11th St, Suite P3600, Beaumont, TX 77702-1500 2017-01-27
1235676487 Brittany Syphrett Nurse Practitioner 755 N 11th St, Suite P-5200, Beaumont, TX 77702-1500 2017-01-26
1164974705 Fidel Gonzalez Nurse Practitioner 755 N 11th St, Suite P-3950, Beaumont, TX 77702-1500 2016-10-31
1417409285 Beaumont Asc, Lp Clinic/Center 755 N 11th St, Suite P3970b, Beaumont, TX 77702-1500 2016-10-27
1568816098 Stephanie Angela Williams Nurse Practitioner 755 N 11th St, Suite P5200, Beaumont, TX 77702-1500 2016-04-21
1578931598 Florencia Espinal Nurse Anesthetist, Certified Registered 755 N 11th St, Suite P3600, Beaumont, TX 77702-1500 2015-09-08
1467837088 Joseph Brottem, Crna Nurse Anesthetist, Certified Registered 755 N 11th St, Suite P3600, Beaumont, TX 77702-1500 2015-07-24
1356731129 John E Hoffpauir Nurse Anesthetist, Certified Registered 755 N 11th St, Suite P3600, Beaumont, TX 77702-1500 2015-01-30
1689076549 Lauren Jordan Barrera Nurse Practitioner 755 N 11th St, Suite P5200, Beaumont, TX 77702-1500 2014-09-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346871134 Anne Parker Chen Psychologist 2431 Liberty St., Beaumont, TX 77702 2020-01-30
1841715299 Encounter Home Care, Inc. Home Health 990 I H 10 North, 225, Beaumont, TX 77702 2017-08-07
1962860023 Jennifer Abney Bell Nurse Practitioner 3030 North St., Suite 510, Beaumont, TX 77702 2016-02-04
1720407687 Jennifer Huff Nurse Practitioner 2980 Calder Ave, Beaumont, TX 77702 2014-04-08
1669894580 Julie Christine Makdsi Psychologist 80 Interstate 10 N., Suite 205, Beaumont, TX 77702 2014-01-11
1437586682 Lori Wenner Registered Nurse 2410 Harrison Street, Beaumont, TX 77702 2013-10-02
1548503311 Robert J Grammatico Emergency Medicine 2830 Calder Ave., Beaumont, TX 77702 2013-03-30
1396084992 Courtney Marie Guidry Physician Assistant 755 N 11th St Ste P5200, Beaumont, TX 77702 2013-02-04
1043524788 Swarnalatha Devi Bathina Dentist 490 Ih-10, Suite 200, Beaumont, TX 77702 2010-08-05
1376798884 Rehana Haq Javed Pathology Christus Hospital 2830 Calder St., Beaumont, TX 77702 2008-11-25
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Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144722380 Interventional Pain Specialists, Pllc Pain Medicine 80 Ih 10 N Ste 101, Beaumont, TX 77702-2128 2018-03-04
1710308358 Beaumont Spine Associates Pain Medicine 3820 Pointe Pkwy, Beaumont, TX 77706-2000 2013-12-28
1104128743 Lakes Area Pain and Rehab Pllc Pain Medicine 755 N 11th St Ste P2280, Beaumont, TX 77702-1525 2010-12-02
1821225475 Southern Anesthetics, Pllc Pain Medicine 755 North 11th Street, P2280, Beaumont, TX 77702-1525 2009-06-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356958086 Universal Health Solutions LLC Pain Medicine 15223 Park Estates Ln, Houston, TX 77062-3657 2020-09-27
1366065997 Siai, Pllc Pain Medicine 149 E State Highway 121, Suite 105, Coppell, TX 75019 2020-05-18
1316568512 Pain Management Physicians of Dallas, Pllc Pain Medicine 4560 Lake Ridge Pkwy Ste 300, Grand Prairie, TX 75052-1706 2020-04-29
1376172304 Am/pm Medical Centers Pain Medicine 800 W Airport Fwy # 625, Irving, TX 75062-6312 2020-04-02
1326672866 Arthritis Relief Institute Pain Medicine 12606 Greenville Ave Ste 195, Dallas, TX 75243-1909 2020-02-24
1215568035 Casey Jones LLC Pain Medicine 21300 Provincial Blvd Ste 200, Katy, TX 77450-7580 2020-01-30
1801435896 Comprehensive Pain Institute Pllc Pain Medicine 1305 Airport Fwy Ste 302b, Bedford, TX 76021-6604 2019-12-23
1497301386 Skilled Pain Care Clinic, P.a. Pain Medicine 2840 Commercial Center Blvd Ste 104, Katy, TX 77494-6412 2019-08-15
1154976025 Stephen M. Sims, Md, Pa Pain Medicine 17189 I 45 S Ste 265, Shenandoah, TX 77385-3323 2019-08-07
1104479146 Shaw Pain Clinic Pllc Pain Medicine 503 Fm 1431 East, Suite 201, Marble Falls, TX 78654-5252 2019-07-18
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Competitor

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City BEAUMONT
Zip Code 77702

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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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