Active NPI
Charles Danny Waldrop, MD
- Pediatrics Physician
- York, PA
National Provider Identifier
1891725586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD044960E
- Practice address
- 1001 S George St
York, PA 17403-3676 - Phone
- (717) 851-3884
- Fax
- (717) 851-3382
- NPI assigned
- Jul 5, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD044960E | PA | Primary |
Addresses
Primary practice location
1001 S George St
York, PA 17403-3676
Mailing address
1803 Mount Rose Ave
Suite B3
York, PA 17403-3026
Phone (717) 851-1405
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20045815 | Other | PA | AMERIHEALTH MERCY-WMG |
| 4118079 | Other | PA | AETNA |
| 174069 | Other | PA | UNISON-WMG |
| 3163840 | Other | PA | MAMSI-WMG |
| 50053492 | Other | PA | CAPITAL BLUE CROSS-WMG |
| 1506263 | Other | PA | GATEWAY-WMG&YH |
| 577742 | Other | PA | HIGHMARK BLUE SHIELD |
| 0399448000 | Other | PA | AMERIHEALTH 65 PA |
| 3143201 | Other | PA | MAMSI-YH |
| 6257 | Other | PA | GEISINGER |
| 102252 | Other | PA | JOHNS HOPKINS |
| 20045821 | Other | PA | AMERIHEALTH MERCY-YH |
| 50055633 | Other | PA | CAPITAL BLUE CROSS-YH |
| 174070 | Other | PA | UNISON-YH |
| 647494 | Other | MD | CAREFIRST MD BCBS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD044960E | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193356800000",
"number": "1891725586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1803 MOUNT ROSE AVE",
"address_2": "SUITE B3",
"city": "YORK",
"state": "PA",
"postal_code": "174033026",
"telephone_number": "717-851-1405",
"fax_number": "717-851-6969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 S GEORGE ST",
"city": "YORK",
"state": "PA",
"postal_code": "174033676",
"telephone_number": "717-851-3884",
"fax_number": "717-851-3382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDROP",
"first_name": "CHARLES",
"middle_name": "DANNY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2007-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD044960E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY-WMG",
"identifier": "20045815",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4118079",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON-WMG",
"identifier": "174069",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI-WMG",
"identifier": "3163840",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS-WMG",
"identifier": "50053492",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY-WMG&YH",
"identifier": "1506263",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "577742",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH 65 PA",
"identifier": "0399448000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI-YH",
"identifier": "3143201",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER",
"identifier": "6257",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHNS HOPKINS",
"identifier": "102252",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY-YH",
"identifier": "20045821",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS-YH",
"identifier": "50055633",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON-YH",
"identifier": "174070",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MD BCBS",
"identifier": "647494",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.