Charles H Hennekens, M.D.

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

33712 Issued in MA

Practice address

Florida Atlantic University
777 Glades Rd.
Boca Raton, FL 33431-0991

Phone

(561) 297-4074

NPI assigned

Apr 29, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240963200000",
    "number": "1295979623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S OCEAN BLVD",
            "address_2": "PH-A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334328332",
            "telephone_number": "561-297-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FLORIDA ATLANTIC UNIVERSITY",
            "address_2": "777 GLADES RD.",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334310991",
            "telephone_number": "561-297-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNEKENS",
        "first_name": "CHARLES",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-29",
        "last_updated": "2009-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "MA",
            "license": "33712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin L Helsher, OTR
• Hematology-Oncology Associates of Boca Raton, PA
• Joseph Henain, MD
• Flavia Hendrickson
• Michael Jay Henick, M.D.
• Jeanne M Hennemann, M.D.
• Lauren Renee Hennessy
• Corrie L Henry, APRN, CNM
• Lizeth Silvana Henry, LMHC
• Dani Rose Henwood

• Public Health & General Preventive Medicine Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Public Health & General Preventive Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; 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.