Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Charles J Supernavage, MD

Otolaryngology Physician in Hagerstown, MD · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720080963

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Registry record

Entity type Individual (Type 1)

Name Dr. Charles J Supernavage

Credential MD

Sex Male

Practice address 1800 Dual Hwy 303, Hagerstown, MD, 21740

Phone (301) 739-0400

Fax (301) 739-0402

Enumeration date Jun 1, 2005

Last updated in NPPES Aug 10, 2015

Taxonomy & licenses

207Y00000X Otolaryngology Physician Allopathic & Osteopathic Physicians · License D0026440 (MD) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
36496001	Other	MD	CAREFIRST BLUE SHIELD ID
770413	Other	-	AETNA ID #
314681200	Medicaid	MD	-
214080	Other	MD	MAMSI ID #

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 → Validate an NPI →

Frequently asked questions

Where does Charles Supernavage practice?

The practice location on file with NPPES is in Hagerstown, MD. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Charles Supernavage?

The National Provider Identifier (NPI) for Charles Supernavage is 1720080963, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-08-10.