Dr.Charles Yeager LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

SC002211L Issued in PA

Legal business name

DR.CHARLES YEAGER LLC

Practice address

1 Masonic Dr
Elizabethtown, PA 17022-2199

Phone

(717) 367-1121

Fax

(717) 361-4525

NPI assigned

Mar 25, 2017

Last updated

Apr 25, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles Scott Yeager IV, DPMNPI 1679550479

Title

Podiatrist

Phone

(717) 475-1455

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles S Yeager, DPM

  • Podiatrist
  • Ephrata, PA
  • NPI 1679550479
  Authorized official Same address or phone

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

{
    "created_epoch": "1490400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1689105165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CLOISTER AVE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221701",
            "telephone_number": "717-733-5556",
            "fax_number": "717-721-8139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MASONIC DR",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170222199",
            "telephone_number": "717-367-1121",
            "fax_number": "717-361-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.CHARLES YEAGER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-25",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "YEAGER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "717-475-1455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "SC002211L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000587897",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Dodds
• Mark J. Doody, D.C.
• Stephanie Meredith Douma, PHARM D
• Shannon Scott Douthitt, OTR/L
• Gavin Downey, PT
• Jane Drobin, DC ND
• Dva Healthcare Renal Care Inc (Elizabethtown Dialysis)
• Kathryn Eberz, LCSW
• Sarah Zwally Eby, LCSW
• Jennifer Elizabeth Walden Eckhart, DDS

• Durable Medical Equipment & Medical Supplies in Elizabethtown, PA
• Providers in Elizabethtown, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.