Individual
DR. CHARLES M TIRONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2865 CHANCELLOR DRIVE, SUITE 205, CRESTVIEW HILLS, KY 41017-1931
(859) 341-9900
(859) 341-1649
Mailing address
2865 CHANCELLOR DRIVE, SUITE 205, CRESTVIEW HILLS, KY 41017-3931
(859) 341-9900
(859) 341-1649
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
244020
KY
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
244020
KY
213ER0200X
Radiology Podiatrist
244020
KY
213ES0103X
Foot & Ankle Surgery Podiatrist
244020
KY
213ES0131X
Foot Surgery Podiatrist
244020
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000065431
CENTRAL STATES
—
01
—
0672301002
CONNECTICUT GENERAL LIFE
—
01
—
2160772
AETNA
—
01
—
2720114
DEFINITY HEALTH
—
01
—
611317095-01
BWC/CAREWORKS
—
01
—
6113170957B12
BLUE CROSS/BLUE SHIELD PP
—
01
—
672301002
CIGNA
—
05
—
80001647
—
KY
01
—
G302
EMPIRE BLUE CROSS/BLUE SH
—
01
—
K0164
CHOICE CARE
—
Enumeration date
07/28/2006
Last updated
11/19/2019
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