Active NPI
Charles A McDyer Jr., R.N., B.S.
- Registered Nurse
- Sellersville, PA
National Provider Identifier
1710170469
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.
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN600126
- 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, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
- Credentials
- Bachelor of Science, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN600126 | PA | MD | Registered 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.