Charles R Minehart, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MD017700E Issued in PA

Practice address

2605 Keiser Blvd
Wyomissing, PA 19610-3338

Phone

(610) 685-8500

Fax

(610) 378-5131

NPI assigned

Oct 26, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: charlesminehart@bcl.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Berks Vascular Institute, PC

  • Vascular Surgery Physician
  • Reading, PA
  • NPI 1902857485
  NPD (past)
• Penn State Health Medical Group, LLC

  • Family Medicine Physician
  • Lancaster, PA
  • NPI 1972032761
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366432726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 KEISER BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103338",
            "telephone_number": "610-685-8500",
            "fax_number": "610-378-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 KEISER BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103338",
            "telephone_number": "610-685-8500",
            "fax_number": "610-378-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINEHART",
        "first_name": "CHARLES",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD017700E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006588900005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rita E. Miller, RN, C, BSPA
• Samuel R Miller, D.P.M.
• Krislyn Milligan, CRNP
• Ryan Milloy, PA-C
• Rebekah Mills-Prevo, AUD
• Paul Sander Mintz, MD
• Mayank R Modi, MD
• Julia Pontius Mogel, CRNP
• Dawn Lynn Mohn
• Militza Marrie Molina

• Cardiovascular Disease Physician in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Cardiovascular Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.