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Deactivated NPI 1750304374 Deactivated / Inactive NPI Male Practitioner

Dr. Charles E Mackenzie , MD

Surgery • Warren, PA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Charles Mackenzie has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 25, 2006
NPI Deactivation Date December 18, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Charles Mackenzie, MD was a registered Surgery practicing in Warren, PA. Throughout an active medical career spanning 14 years, Dr. Mackenzie provided care at the practice location at 2 W CRESCENT PARK until profile deactivation on 2020-12-18.

Practice Location & Contact Primary Location

Practice Address

2 W Crescent Park

Warren, PA 163652111

Telephone 8147233300
Fax 8147238515
Associated Practice Facility / Clinic
🏢 Renal Care Of Warren, Llc Facility NPI 1720072093

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Warren, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.5 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
6 Specialists

Practicing in Warren, PA (1976 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD009612E

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

39 Associated Practitioners
Chad Ristau

Nurse Anesthetist, Certified Registered

NPI 1013187558
NPI 1013786821

Doctor of Pharmacy (Pharm.D.)

Dr. Manu Kaushik , MD

Family Medicine

NPI 1053642140

Doctor of Medicine (M.D.)

Dr. Douglas Megill , MD

Emergency Medicine

NPI 1083603310

Doctor of Medicine (M.D.)

Kelly Sullivan , CRNP

Nurse Practitioner - Family

NPI 1114392735

Certified Registered Nurse Practitioner

Dr. Julius Berta , MD

Radiology - Diagnostic Radiology

NPI 1154342004

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 18, 2020

Record deactivated on December 18, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2 W CRESCENT PARK, WARREN, PA 163652111 (Tel: 8147233300)

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Updated Business Mailing Address July 08, 2007

Registered at 5 QUAKER COURT CIR, WARREN, PA 163654125 (Tel: 8147231856)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CHARLES MACKENZIE, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #MD009612E in PA)

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Initial NPI Registration & Enumeration July 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750304374
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2006
Last Update: July 08, 2007
Deactivation Date: December 18, 2020

Mailing Address

5 Quaker Court Cir

Warren, PA 163654125

Phone: 8147231856

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.