Provider Demographics
NPI:1891725586
Name:WALDROP, CHARLES DANNY (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:DANNY
Last Name:WALDROP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1803 MOUNT ROSE AVE
Mailing Address - Street 2:SUITE B3
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3026
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-851-6969
Practice Address - Street 1:1001 S GEORGE ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3676
Practice Address - Country:US
Practice Address - Phone:717-851-3884
Practice Address - Fax:717-851-3382
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD044960E208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA20045815OtherAMERIHEALTH MERCY-WMG
PA4118079OtherAETNA
PA174069OtherUNISON-WMG
PA3163840OtherMAMSI-WMG
PA50053492OtherCAPITAL BLUE CROSS-WMG
PA1506263OtherGATEWAY-WMG&YH
PA577742OtherHIGHMARK BLUE SHIELD
PA0399448000OtherAMERIHEALTH 65 PA
PA3143201OtherMAMSI-YH
PA6257OtherGEISINGER
PA102252OtherJOHNS HOPKINS
PA20045821OtherAMERIHEALTH MERCY-YH
PA50055633OtherCAPITAL BLUE CROSS-YH
PA174070OtherUNISON-YH
MD647494OtherCAREFIRST MD BCBS
PA0399448000OtherAMERIHEALTH 65 PA
PA3163840OtherMAMSI-WMG
PA174069OtherUNISON-WMG