Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Charles Michael Irvin, DPM

Individual provider Podiatrist · NPI 1457337032

Dr. Charles Michael Irvin, DPM is a Podiatry in Fredericktown, Pennsylvania. Qualified in 1982, 44 years ago. Practices with Centerville Clinics, Inc, a 44-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
44
Licensed in
PA
In the registry since
2005
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1070 Old National Pike
Fredericktown, PA 15333-2114
Phone: (724) 632-6801
Fax: (724) 632-6312
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence SC002443L (PA)

Record details

NPI number1457337032
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedDecember 16, 2005
Last updated in NPPESApril 29, 2008
Mailing address1070 Old National Pike, Fredericktown, PA 15333-2114

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Group practice Centerville Clinics, Inc. — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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