MEDICARE: CHARLOTTE HEROLD DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	816127	TX
2	207Q00000X	Family Medicine Physician	390200000X	OH

General Provider Information

NPI Number	:	1508115981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLOTTE HEROLD DO

Provider Business Mailing Address
First Line	:	7045 LIGHTHOUSE WAY
Second Line	:
City	:	PERRYSBURG
State	:	OH
Zip	:	43551-7000
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7045 LIGHTHOUSE WAY
Second Line	:
City	:	PERRYSBURG
State	:	OH
Zip	:	43551-7000
Country	:	US
Telephone Number	:	419-794-9292
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2012
Last Update Date	:	04/09/2021

Similar Medicare Providers

1275552275 — MOHAMAD HAZEM HATAHET MD
Practice Location Address:

7007 LIGHTHOUSE WAY
PERRYSBURG, OH
43551-7000

Practice Phone: 419-874-3246
Practice Fax:

1659423929 — ZAFAR MAGSI MD
Practice Location Address:

7007 LIGHTHOUSE WAY
PERRYSBURG, OH
43551-7000

Practice Phone: 419-874-3246
Practice Fax: 419-874-3475

1437201795 — SHAUKAT RASHID MD
Practice Location Address:

7007 LIGHTHOUSE WAY
PERRYSBURG, OH
43551-7000

Practice Phone: 419-874-3246
Practice Fax:

1407098882 — DANIAL RASHID M.D.
Practice Location Address:

7007 LIGHTHOUSE WAY
PERRYSBURG, OH
43551-7000

Practice Phone: 419-874-3246
Practice Fax:

1114219516 — ANNA L NELSON MD
Practice Location Address:

7045 LIGHTHOUSE WAY
PERRYSBURG, OH
43551-7000

Practice Phone: 419-873-6836
Practice Fax: 419-873-6837

1083271845 — DANIEL KIELMINSKI
Practice Location Address:

7045 LIGHTHOUSE WAY
PERRYSBURG, OH
43551-7000

Practice Phone: 419-873-6836
Practice Fax:

Directions to “ CHARLOTTE HEROLD DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.