Organization Active NPI

Charles F Halfpenny MD LLC

  • Independent Medical Examiner Physician
  • Ft Lauderdale, FL
National Provider Identifier
1477674372
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner PhysicianTaxonomy code 202C00000X
License
0011163 Issued in FL
Legal business name
CHARLES F HALFPENNY MD LLC
Practice address
12 NE 12TH Ave
Ft Lauderdale, FL 33301-1604
Phone
(954) 463-3416
Fax
(954) 523-5570
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Authorized official

Name
Katherine J MolinetNPI 1386608263
Title
Nurse Practitioner
Phone
(954) 463-3416

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
Independent Medical Examiner PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 202C00000X 0011163 FL Primary

Addresses

Primary practice location

12 NE 12TH Ave
Ft Lauderdale, FL 33301-1604

Mailing address

12 NE 12TH Ave
Ft Lauderdale, FL 33301-1604
Phone (954) 463-3416

Other identifiers 1

IdentifierTypeStateIssuer
1053375964OtherFLINDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070817000479 FL Part B Supplier - Clinic/Group Practice 5193817336 Receives reassigned benefits from 2 practitioners
Practice locations: Ft Lauderdale, FL; Fort Lauderdale, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1477674372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 NE 12TH AVE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011604",
            "telephone_number": "954-463-3416",
            "fax_number": "954-523-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 NE 12TH AVE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011604",
            "telephone_number": "954-463-3416",
            "fax_number": "954-523-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES F HALFPENNY MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "MOLINET",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "954-463-3416"
    },
    "taxonomies": [
        {
            "code": "202C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Independent Medical Examiner",
            "state": "FL",
            "license": "0011163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1053375964",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.