Individual provider Active NPI

Charles Richard Druffner, MD

  • Internal Medicine Physician
  • Clarks Summit, PA
National Provider Identifier
1578691457
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD027676L Issued in PA
Practice address
1851 Newton Ransom Blvd
Apt#2
Clarks Summit, PA 18411-9691
Phone
(570) 587-4344
NPI assigned
Mar 1, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD027676L PA Primary

Addresses

Primary practice location

1851 Newton Ransom Blvd
Apt#2
Clarks Summit, PA 18411-9691

Mailing address

1851 Newton Ransom Blvd
Apt #2
Clarks Summit, PA 18411-9691
Phone (570) 587-4344

Other identifiers 1

IdentifierTypeStateIssuer
0953596MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578691457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 NEWTON RANSOM BLVD",
            "address_2": "APT #2",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184119691",
            "telephone_number": "570-587-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 NEWTON RANSOM BLVD",
            "address_2": "APT#2",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184119691",
            "telephone_number": "570-587-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUFFNER",
        "first_name": "CHARLES",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD027676L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0953596",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarks Summit, PA

Sources for this page

Verify at the official NPI Registry.