Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1558562520 Deactivated / Inactive NPI Male Practitioner

Dr. Charles F Mcmahon , MD

Contractor • Lander, WY

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

Registration / Start Date May 29, 2007
NPI Deactivation Date October 02, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Charles Mcmahon, MD was a registered Contractor practicing in Lander, WY. Throughout an active medical career spanning 13 years, Dr. Mcmahon provided care at the practice location at WYOMING STATE TRAINING SCHOOL until profile deactivation on 2020-10-02.

Practice Location & Contact Primary Location

Practice Address

Wyoming State Training School

Lander, WY 82520

Telephone 3073356715

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Lander, WY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Lander, WY (14 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

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

State License WY 2024A

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Sanjida Hasan , MD

General Practice

NPI 1427189679

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 October 02, 2020

Record deactivated on October 02, 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 WYOMING STATE TRAINING SCHOOL, LANDER, WY 82520 (Tel: 3073356715)

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Updated Business Mailing Address July 08, 2007

Registered at 1335 HILLCREST DR, LANDER, WY 825209702 (Tel: 3073329884)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CHARLES MCMAHON, MD

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

Contractor (License #2024A in WY)

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Initial NPI Registration & Enumeration May 29, 2007

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: 1558562520
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2007
Last Update: July 08, 2007
Deactivation Date: October 02, 2020

Mailing Address

1335 Hillcrest Dr

Lander, WY 825209702

Phone: 3073329884

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.