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NPI Code Detail

MEDICARE: CHARLES BARTHA JR. CRNA

MEDICARE: CHARLES BARTHA JR. CRNA
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
1367500000XCertified Registered Nurse AnesthetistARNP 9365802FL
2367500000XCertified Registered Nurse Anesthetist17604WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669818431
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES BARTHA JR. CRNA
Provider Business Mailing Address
First Line : 4214 NE 7TH TER
Second Line :
City : OAKLAND PARK
State : FL
Zip : 33334-3139
Country : US
Telephone Number : 917-748-7981
Fax Number :
Provider Business Practice Location Address
First Line : 1425 PORTLAND AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14621-3011
Country : US
Telephone Number : 585-922-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2013
Last Update Date : 12/15/2025

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