Dr. Roger John Charboneau, D.O.
Dr. Roger John Charboneau is a Sports Medicine (Orthopaedic Surgery) Physician provider (Orthopaedic Surgery) practicing in Ada, OK, registered in the NPPES registry with NPI 1609862689 since 2005. The credential DO stands for Doctor of Osteopathic Medicine.
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1609862689 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Roger John Charboneau |
| Credential | D.O. |
| Sex | Male |
| Practice address | Ada, OK, 74820 |
| Phone | 5805590510 |
| Fax | 5802722715 |
| Enumeration date | 2005-09-23 |
| Last updated in NPPES | 2016-08-10 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | Primary | 4037 | OK |
DO — Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200009440A | Medicaid | OK | — |
| 611692300 | Other | OK | OWCP |
| P00212246 | Other | OK | RAILROAD MEDICARE |
Copy-ready billing details
Provider: Roger Charboneau, D.O. NPI: 1609862689 Taxonomy: 207XX0005X (Sports Medicine (Orthopaedic Surgery) Physician) Address: Ada, OK, 74820
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1528050291 | Carol Rhoads | Individual | Certified Registered Nurse Anesthetist | Ada, OK |
| 1639162704 | Tracy Thompson | Individual | Family Medicine Physician | Ada, OK |
| 1740273432 | Mary Jennings | Individual | General Practice Dentistry | Ada, OK |
| 1578547626 | Jose Alvarez-Villa | Individual | Otolaryngology Physician | Ada, OK |
| 1124005947 | David Frow | Individual | Obstetrics & Gynecology Physician | Ada, OK |
| 1285612648 | Fabio Mota | Individual | Family Medicine Physician | Ada, OK |
| 1972573186 | Steven Gurley | Individual | Optometrist | Ada, OK |
| 1285606608 | George Vascellaro | Individual | Family Medicine Physician | Ada, OK |
Verify this record
Cross-check NPI 1609862689 against the authoritative CMS record: view Dr. Roger John Charboneau on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-08-10.