Charles R. McKeen, M.D., PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

CHARLES R. MCKEEN, M.D., PC

Practice address

413 W 1St St
Bloomington, IN 47403-2403

Phone

(812) 332-3531

Fax

(812) 332-4673

NPI assigned

Aug 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Charles R McKeen

Title

M.D.

Phone

(812) 332-3531

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1407048036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 W 1ST ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032403",
            "telephone_number": "812-332-3531",
            "fax_number": "812-332-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 W 1ST ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032403",
            "telephone_number": "812-332-3531",
            "fax_number": "812-332-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES R. MCKEEN, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "MCKEEN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "812-332-3531",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Tien Chao, MD
• Morgan Leigh Chapa, RN
• Julie Chapin, PH.D, HSPP
• David Khalil Chapman, RBT
• Joshua Allan Chapman, DDS, MSD
• Grace Elizabeth Chaumell, RBT
• Xavier Chavez, RBT
• Andrea Cheek, LSW
• Eran V Chen, M.D.
• Avantika Chenna, MD

• Surgery Physician in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; 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.