Individual provider Active NPI

Charles A McDyer Jr., R.N., B.S.

  • Registered Nurse
  • Sellersville, PA
National Provider Identifier
1710170469
Registry record updated Jan 12, 2009
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Nov 20, 2023.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN600126 Issued in PA
Practice address
807 Lawn Avenue
Sellersville, PA 18960
Phone
(215) 257-6551
Fax
(267) 517-0023
NPI assigned
Aug 24, 2007
Last updated
Jan 12, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN600126 PA Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

807 Lawn Avenue
Sellersville, PA 18960

Mailing address

PO Box 32
807 Lawn Avenue
Sellersville, PA 18960
Phone (215) 257-6551

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Bachelor of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN600126PAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231718400000",
    "number": "1710170469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32",
            "address_2": "807 LAWN AVENUE",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "18960",
            "telephone_number": "215-257-6551",
            "fax_number": "267-517-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 LAWN AVENUE",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "18960",
            "telephone_number": "215-257-6551",
            "fax_number": "267-517-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDYER",
        "first_name": "CHARLES",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "R.N., B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-24",
        "last_updated": "2009-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN600126",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sellersville, PA

Sources for this page

Verify at the official NPI Registry.