Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. CHARLES J SUPERNAVAGE MD
NPI 1720080963
Otolaryngology in Hagerstown, MD

Active since June 01, 2005
1800 DUAL HWY 303, HAGERSTOWN, MD 21740(301) 739-0400(301) 739-0402 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Charles J Supernavage Md NPPES

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

DR. CHARLES J SUPERNAVAGE MD (NPI 1720080963) is an individual otolaryngology provider in Hagerstown, Maryland, licensed in Maryland (D0026440) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1720080963
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. CHARLES J SUPERNAVAGECredential: MD
Location Address1800 DUAL HWY 303Hagerstown, MD 21740-6648
Mailing Address1800 Dual Highway, Suite 303Hagerstown, MD 21740-6602 · (301) 739-0400 · Fax (301) 739-0402
Fax(301) 739-0402
Sole ProprietorNo
Enumeration DateJune 1, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1720080963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in MD · D0026440
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1800 DUAL HWY 303, Hagerstown, MD 21740

Other Identifiers 4

Other36496001MD · Carefirst Blue Shield Id
Other770413Aetna Id #
Medicaid314681200MD
Other214080MD · Mamsi Id #

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 Supernavage's NPI number?

The NPI number for Charles Supernavage is 1720080963. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Charles Supernavage located?

Charles Supernavage practices at 1800 Dual Hwy 303, Hagerstown, MD 21740. The listed phone number is (301) 739-0400.

What is Charles Supernavage's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Charles Supernavage was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.