Charles J Sugarman
Primary Podiatric Medicine
525 Alexandria Pike Suite 230
Southgate
, Kentucky 41071-3290
Charles J Sugarman
Primary Podiatric Medicine
525 Alexandria Pike Suite 230
Southgate
, Kentucky 41071-3290
(859) 441-3698
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Charles J Sugarman
- 2300 Chamber Center Dr
- Lakeside Park, KY
- Zip : 41017-1686
- Fax : (859) 441-3698
- Phone : (859) 441-4334
Second Address
- Charles J Sugarman
- 525 Alexandria Pike Suite 230
- Southgate, KY
- Zip : 41071-3290
- Fax : (859) 441-3698
- Phone : (859) 441-4334
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | 00170 | KY |
National Provider Identifier
| NPI | 1265431845 |
|---|---|
| Provider Name | Charles J Sugarman |
| First Address | Lakeside Park, KY 41017-1686 |
| Second Address | Southgate, KY 41071-3290 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2005 |
| Last Update Date | 26/04/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000033161 | ANTHEM (01) | KY |
| 27-00336 | UHC (01) | KY |
| 4491387 | AETNA (01) | KY |
| 80001704 | (05) | KY |
| 90260191 | (05) | KY |
| T54197 | (02) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.