NPIMap

Organization Active NPI

Leroy Charles MD PA

  • Gynecology Physician
  • Loxahatchee, FL
National Provider Identifier
1093986762
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
ME83408 Issued in FL
Legal business name
LEROY CHARLES MD PA
Practice address
12957 Palms West Dr
Suite 102
Loxahatchee, FL 33470-4932
Phone
(561) 784-7014
Fax
(561) 784-7922
NPI assigned
Mar 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Barbara Charles
Title
Office Manager
Phone
(561) 784-7014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X ME83408 FL Primary

Addresses

Primary practice location

12957 Palms West Dr
Suite 102
Loxahatchee, FL 33470-4932

Mailing address

12957 Palms West Dr
Suite 102
Loxahatchee, FL 33470-4932
Phone (561) 784-7014

Other identifiers 1

IdentifierTypeStateIssuer
265747300MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1093986762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12957 PALMS WEST DR",
            "address_2": "SUITE 102",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334704932",
            "telephone_number": "561-784-7014",
            "fax_number": "561-784-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12957 PALMS WEST DR",
            "address_2": "SUITE 102",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334704932",
            "telephone_number": "561-784-7014",
            "fax_number": "561-784-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEROY CHARLES MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-784-7014"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME83408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265747300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.