CHARLES C NYDEGGER


Address: 1850 E Park Ave, Ste 201, State College, PA 16803-6706
Phone: 8142348800

CHARLES C NYDEGGER (NPI# 1730152745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730152745
Entity Type Individual
Full Name CHARLES C NYDEGGER
Credential MD
Practice Address 1850 E Park Ave
Ste 201
State College
PA 16803-6706
Practice Telephone 8142348800
Practice Fax Number 8142351133
Mailing Telephone 8142348800
Mailing Fax Number 8142351133
Enumeration Date 2006-02-09
Last Update Date 2013-08-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
MD032132E PA Allopathic & Osteopathic Physicians
Y 207RC0001X Internal Medicine
Specialization: Clinical Cardiac Electrophysiology
MD032132E PA Allopathic & Osteopathic Physicians

Office Location

Street Address 1850 E PARK AVE
STE 201
City STATE COLLEGE
State PA
Zip Code 16803-6706

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790785343 Barbara A Majeroni Family Medicine 1850 E Park Ave, Suite 312, State College, PA 16803-6706 2005-07-26
1306464169 Tammam Hanna Student in an Organized Health Care Education/Training Program 1850 E Park Ave, Suite 112, State College, PA 16803 2020-07-08
1649653585 Karthika Arulsothynathan Student in an Organized Health Care Education/Training Program 1850 E Park Ave, Suite 207, State College, PA 16803-6706 2015-07-08
1467834309 Andrew Timothy Catherine Emergency Medicine 1850 E Park Ave, State College, PA 16803 2015-06-27
1609268507 Connie Ann Peachey Social Worker 1850 E Park Ave, Suite 302, State College, PA 16803-6706 2015-03-02
1487061305 Tia Dudukovich Physician Assistant 1850 E Park Ave, Ste 302, State College, PA 16803-6706 2014-07-14
1780096289 Allison Marie Saal Physician Assistant 1850 E Park Ave, Ste 201, State College, PA 16803-6706 2014-06-02
1841600855 Nicole J. Young Physician Assistant 1850 E Park Ave, Ste 201, State College, PA 16803-6706 2014-04-29
1508298456 Stephen Dallery Shurgalla Physician Assistant 1850 E Park Ave, Suite 312, State College, PA 16803-6706 2013-08-02
1962844985 Ashley E Wagner Registered Nurse 1850 E Park Ave, Ste 302, State College, PA 16803-6706 2013-07-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346851581 Tammy Lynn Terosky Massage Therapist 2134 Sandy Drive, Suite 6, State College, PA 16803 2020-08-12
1548748973 Molly Gomez Occupational Therapist 260 Lions Hill Road, State College, PA 16803 2018-07-28
1568981827 David Scott Kautz Pharmacist 1665 North Atherton Place, State College, PA 16803 2017-09-18
1245751023 Zenovia Tarmohamed Student in an Organized Health Care Education/Training Program 1850 East Park Avenue, Suite 207, Penn State Health At Mount Nittany Medical Center, State College, PA 16803 2017-06-30
1407205362 Alka Sood Student in an Organized Health Care Education/Training Program 1850 E. Park Avenue, State College, PA 16803 2016-06-10
1588018766 Daniel Frankel Student in an Organized Health Care Education/Training Program 1850 East Park Avenue, Suite 207, State College, PA 16803 2016-04-14
1154791903 Megan Widener Physician Assistant 2520 Green Tech Dr., Ste. D, State College, PA 16803 2015-10-05
1114301330 Phuong Tran Courtney Physician Assistant 1613 North Atherton Street, Suite B, State College, PA 16803 2015-07-17
1164806840 Amit Thatte Student in an Organized Health Care Education/Training Program 1850 East Park Ave., Suite 207, Penn State Hershey Medical Group, State College, PA 16803 2015-07-13
1245588946 Phoenix Rehabilitation and Health Services, Inc. Chiropractor 1700 Old Gatesburg Road, Suite 210, State College, PA 16803 2012-08-28
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Taxonomy Information

Taxonomy Code 207RC0001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Clinical Cardiac Electrophysiology

Taxonomy Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1164923587 Regional Cardiac Monitoring, Inc Internal Medicine 125 N Franklin Dr Ste 4, Washington, PA 15301-5892 2018-02-21
1952819633 Einstein Practice Plan, Inc. Internal Medicine 5501 Old York Rd Fl Moss3, Philadelphia, PA 19141 2018-01-17
1952828550 Mercy Management of Southeastern Pennsylvania Internal Medicine 501 S 54th St Ste 126, Phila, PA 19143-1900 2017-08-24
1285150458 Nazareth Physician Services, Inc. Internal Medicine 2701 Holme Ave Ste 100, Phila, PA 19152-2029 2017-08-18
1851657548 Butler Medical Providers Internal Medicine 127 Oneida Valley Rd Ste 203, Butler, PA 16001-2239 2012-04-06
1902114788 Robert Bruce Kleiman Internal Medicine 129 Overhill Rd, Bala Cynwyd, PA 19004-2228 2010-09-15
1477699015 Rajat Deo Internal Medicine 3400 Spruce St Fl 2, Philadelphia, PA 19104-4229 2007-01-30
1780744839 Robert James Hoover Internal Medicine 419 Denniston St Apt 3, Pittsburgh, PA 15206-4451 2006-12-11
1245255298 Pittsburgh Cardiac Electrophysiology Associates PC Internal Medicine 5125 Liberty Ave, Pittsburgh, PA 15224-2217 2006-07-12
1871534826 Methodist Associates In Healthcare Jmhc Internal Medicine 1317-19 Wolf Street, Philadelphia, PA 19148-2934 2006-06-09
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Competitor

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City STATE COLLEGE
Zip Code 16803

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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