Active NPI
Charles Norris, M.D.
- General Practice Physician
- Upper Darby, PA
National Provider Identifier
1548417504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MD030646E
- Practice address
- 130 Long LN
Apt 404
Upper Darby, PA 19082-3437 - Phone
- (484) 461-9531
- NPI assigned
- Aug 21, 2008
- Last updated
- Aug 21, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MD030646E | PA | Primary |
Addresses
Primary practice location
130 Long LN
Apt 404
Upper Darby, PA 19082-3437
Mailing address
1758 Allentown Rd
#213
Lansdale, PA 19446-4053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD030646E | PA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219276800000",
"number": "1548417504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1758 ALLENTOWN RD",
"address_2": "#213",
"city": "LANSDALE",
"state": "PA",
"postal_code": "194464053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 LONG LN",
"address_2": "APT 404",
"city": "UPPER DARBY",
"state": "PA",
"postal_code": "190823437",
"telephone_number": "484-461-9531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORRIS",
"first_name": "CHARLES",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-21",
"last_updated": "2008-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PA",
"license": "MD030646E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upper Darby, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.