Individual provider · NPI-1
Paige Charboneau, MD
Hospitalist · Farmington, MO
NPI number1033748652
StatusActive
Last updated in NPPESSep 19, 2025
Details
- NPI
- 1033748652
- Entity type
- Individual (NPI-1)
- Name
- Paige Charboneau
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2020
- Certification date
- Sep 19, 2025
- Last updated
- Sep 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 2024033376 | MO | Yes |
| 207Q00000X | Family Medicine | 0101277127 | VA |
Practice location
1101 W Liberty StFarmington, MO 63640-1921
Phone 573-705-1272 · Fax 573-705-1216
Mailing address
Po Box 959354Saint Louis, MO 63195-9354
Phone 573-705-1272 · Fax 573-705-1216
Other practice locations
1906 Belleview Ave Se
Roanoke, VA 24014-1838
Roanoke, VA 24014-1838
Phone 540-981-7000
3707 Brambleton Ave Ste 2
Roanoke, VA 24018-3658
Roanoke, VA 24018-3658
Phone 540-725-7800 · Fax 540-989-6752
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.