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Deactivated NPI 1932150737 Deactivated / Inactive NPI Male Practitioner

Dr. Charles J Mcdonald , MD

Dermatology • Providence, RI

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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 Mcdonald has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 15, 2006
NPI Deactivation Date March 03, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Charles Mcdonald, MD was a registered Dermatology practicing in Providence, RI. Throughout an active medical career spanning 15 years, Dr. Mcdonald provided care at the practice location at 593 EDDY STREET, APC-10 until profile deactivation on 2021-03-03.

Practice Location & Contact Primary Location

Practice Address

593 Eddy Street, Apc-10

Providence, RI 029034923

Telephone 4014447959
Fax 4014447144
Associated Practice Facility / Clinic
🏢 University Dermatology, Inc. Facility NPI 1316996101

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Providence, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.3 Yrs
State Avg: 23.2 Yrs
Regional Practice Density
32 Specialists

Practicing in Providence, RI (74 Statewide)

Telehealth Adoption Rate
3.1% 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

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License RI MD04018

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Practice Associates & Co-Workers

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

32 Associated Practitioners
Tami Menard , PA-C

Physician Assistant - Medical

NPI 1023019403

Physician Assistant (Certified)

Sean Na

Student in an Organized Health Care Education/Training Program

NPI 1083474696
Dr. Isaac Sluder , MD, MPH

Student in an Organized Health Care Education/Training Program

NPI 1114716206

Doctor of Medicine (M.D.), Master of Public Health

Daniel Nolte , PA

Physician Assistant

NPI 1124798855

Physician Assistant

NPI 1154368454

Doctor of Medicine (M.D.)

NPI 1154701019

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 March 03, 2021

Record deactivated on March 03, 2021

NPI Profile Active November 16, 2012

NPI status registered as active in NPPES database

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Updated Practice Location November 16, 2012

Registered at 593 EDDY STREET, APC-10, PROVIDENCE, RI 029034923 (Tel: 4014447959)

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Updated Business Mailing Address November 16, 2012

Registered at 593 EDDY STREET, APC-10, PROVIDENCE, RI 029034923 (Tel: 4014447959)

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Provider Name / Credentials Updated November 16, 2012

Recorded as CHARLES MCDONALD, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2012

Dermatology (License #MD04018 in RI)

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Initial NPI Registration & Enumeration May 15, 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: 1932150737
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2006
Last Update: November 16, 2012
Deactivation Date: March 03, 2021

Mailing Address

593 Eddy Street, Apc-10

Providence, RI 029034923

Phone: 4014447959

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.