Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 244020 | KY |
N | 222Z00000X | Podiatrist | 244020 | KY |
Y | 213EP1101X | Primary Podiatric Medicine | 244020 | KY |
N | 111NR0200X | Radiology | 244020 | KY |
N | 213ER0200X | Radiology | 244020 | KY |
N | 213ES0103X | Foot & Ankle Surgery | 244020 | KY |
N | 213ES0131X | Foot Surgery | 244020 | KY |
NPI | 1568476091 |
---|---|
Provider Name | Dr. Charles M Tirone |
First Address | Crestview Hills, KY 41017-3931 |
Second Address | Crestview Hills, KY 41017-1931 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2006 |
Last Update Date | 19/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000065431 | 2ND CENTRAL STATES HEALTH (01) | |
000000065431 | ANTHEM (01) | |
000000065431 | BLUE CROSS BLUE SHIELD (01) | |
000000065431 | CENTRAL STATES (01) | |
000000065431 | EXECUTIVE AND EMPLOYEE BE (01) | |
0672301002 | CONNECTICUT GENERAL LIFE (01) | |
2160772 | AETNA (01) | |
2160772 | AMERICAN HEALTH ADMIN (01) | |
2720114 | DEFINITY HEALTH (01) | |
611317095-01 | BWC/CAREWORKS (01) | |
6113170957B12 | BLUE CROSS/BLUE SHIELD PP (01) | |
672301002 | CIGNA (01) | |
80001647 | (05) | KY |
G302 | EMPIRE BLUE CROSS/BLUE SH (01) | |
K0164 | CHOICE CARE (01) | |
T54176 | (02) |