Organization Active NPI

Leroy Charles MD PA

  • Gynecology Physician
  • Greenacres, FL
National Provider Identifier
1134596646
Registry record updated Sep 1, 2015
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
4849 Lake Worth Rd
Suite 201
Greenacres, FL 33463-3461
Phone
(561) 784-7014
NPI assigned
Sep 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Authorized official

Name
Dr. Leroy Charles, MDNPI 1043284425
Title
Owner
Phone
(561) 784-7014

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4849 Lake Worth Rd
Suite 201
Greenacres, FL 33463-3461

Mailing address

4849 Lake Worth Rd
Suite 201
Greenacres, FL 33463-3461
Phone (561) 784-7014

National Provider Directory

National Provider Directory
Tax ID family
Leroy Charles MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4849 Lake Worth Rd
Ste 201
Greenacres, FL 33463
Phone (561) 784-7014

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1134596646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 LAKE WORTH RD",
            "address_2": "SUITE 201",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633461",
            "telephone_number": "561-784-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 LAKE WORTH RD",
            "address_2": "SUITE 201",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633461",
            "telephone_number": "561-784-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEROY CHARLES MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "LEROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-784-7014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME83408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.