Provider Demographics
NPI:1982696639
Name:HUGHES, CHARLES GENE (DO)
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:GENE
Last Name:HUGHES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:685 MISSION HILL WAY
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80921-2671
Mailing Address - Country:US
Mailing Address - Phone:719-488-8724
Mailing Address - Fax:719-531-9545
Practice Address - Street 1:685 MISSION HILL WAY
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80921-2671
Practice Address - Country:US
Practice Address - Phone:719-488-8724
Practice Address - Fax:719-531-9545
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO22263207N00000X, 207ND0900X, 207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01222637Medicaid
CO811853Medicare PIN
COE27268Medicare UPIN
COCOA102391Medicare PIN