Individual provider Active NPI

Charles P McClure, MD

  • Family Medicine Physician
  • West Chester, PA
National Provider Identifier
1619941580
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD069964L Issued in PA
Practice address
701 E. Marshall St
West Chester, PA 19380
Phone
(610) 431-5262
Fax
(610) 526-4082
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD069964L PA Primary

Addresses

Primary practice location

701 E. Marshall St
West Chester, PA 19380

Mailing address

701 E. Marshall St
West Chester, PA 19380
Phone (610) 431-5262

Other identifiers 3

IdentifierTypeStateIssuer
0018044380001MedicaidPA
0018044380002MedicaidPA
232359401OtherPAGREAT VALLEY HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101115000150 PA Practitioner - HospitalistPractitioner - Family Practice 1355536475 Reassigns benefits to 1 organization
I20230404001642 DE Practitioner - Addiction Medicine 1355536475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Addiction Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

501 W 14TH St
Wilmington, DE 19801-1013
Phone (302) 320-2100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD069964LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc CurrentSince Dec 22, 2022 Accepting new patients
Christiana Care Health Services Inc CurrentSince Dec 22, 2022 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
University of Penn-Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince Jun 18, 2021 Accepting new patients
University of Penn-Medical Group CurrentSince Jun 18, 2021 Accepting new patients
Southern Chester County Family Practice Associates, P.C. Family Medicine Past Accepting new patients
Main Line Healthcare Family Medicine PastSince Jul 1, 2008 Accepting new patients
Professional Providers Inc Past Accepting new patients
The Empowerment Resurrection Center Past Accepting new patients

Locations

501 W 14th St
Ste 1E40
Wilmington, DE 19801
Phone (302) 320-2100

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

130 S Bryn Mawr Ave
Ste 312
Bryn Mawr, PA 19010
Phone (610) 526-4097

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 10

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395360000000",
    "number": "1619941580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E. MARSHALL ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "19380",
            "telephone_number": "610-431-5262",
            "fax_number": "610-526-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E. MARSHALL ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "19380",
            "telephone_number": "610-431-5262",
            "fax_number": "610-526-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "CHARLES",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2014-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD069964L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018044380001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018044380002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT VALLEY HEALTH",
            "identifier": "232359401",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.