CHARLES MATTHEW STREET PA
NPI 1255981940
Physician Assistant - Medical in Oak Ridge, TN

Q: What is Charles Street's NPI number?

The NPI number for Charles Street is 1255981940. It was assigned to this individual provider in the NPPES registry on September 16, 2019.

Q: What is Charles Street's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Charles Street was last updated on September 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 16, 2019

170 W TENNESSEE AVE, OAK RIDGE, TN 37830(865) 482-1788(865) 482-1789 Get Directions Write a Review

NPPES record last updated: September 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Charles Matthew Street Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES MATTHEW STREET PA (NPI 1255981940) is an individual medical provider in Oak Ridge, Tennessee and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1255981940

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameCHARLES MATTHEW STREETCredential: PA

Location Address170 W TENNESSEE AVEOak Ridge, TN 37830-6509

Mailing Address170 W Tennessee AveOak Ridge, TN 37830-6509 · (865) 482-1788 · Fax (865) 482-1789

Phone(865) 482-1788

Fax(865) 482-1789

Sole ProprietorYes

Enumeration DateSeptember 16, 2019

✔ NPI 1255981940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

170 W TENNESSEE AVE, Oak Ridge, TN 37830

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDER GREEN DPM

Podiatrist

170 W TENNESSEE AVE
OAK RIDGE, TN 37830

Anderson County (865) 482-1788

ARCHES FOOT CARE LLC

Podiatrist (Foot Surgery)

170 W TENNESSEE AVE
OAK RIDGE, TN 37830

Anderson County (865) 482-1788

DR. BRIAN NIEL CHRISTIANSEN DPM

Podiatrist (Foot Surgery)

170 W TENNESSEE AVE
OAK RIDGE, TN 37830

Anderson County (865) 482-1788

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Street's NPI number?

The NPI number for Charles Street is 1255981940. It was assigned to this individual provider in the NPPES registry on September 16, 2019.

Where is Charles Street located?

Charles Street practices at 170 W Tennessee Ave, Oak Ridge, TN 37830. The listed phone number is (865) 482-1788.

What is Charles Street's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Charles Street was last updated on September 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.