Charles H Keenen, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

216355 Issued in NY

Practice address

37 W Garden St
Suite 102
Auburn, NY 13021-2662

Phone

(315) 282-0525

Fax

(315) 282-0526

NPI assigned

Jan 10, 2006

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)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• East Hill Family Medical, Inc.

  • Family Medicine Physician
  • Auburn, NY
  • NPI 1740074673
  NPD (past)

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1588643423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W FAYETTE ST",
            "address_2": "STE 400",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042859",
            "telephone_number": "315-472-1488",
            "fax_number": "315-472-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 W GARDEN ST",
            "address_2": "SUITE 102",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130212662",
            "telephone_number": "315-282-0525",
            "fax_number": "315-282-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENEN",
        "first_name": "CHARLES",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "216355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Arnold Karpinski, DDS
• Matthew David Kasulke, M.D.
• David Kau, M.D.
• Kailey Rose Kawolics, LMFT-P
• Michael Kevin Keating, DDS
• David Kegley, LMSW
• Jack E Keiser Jr., MD
• Brian P Kelley
• Maxine Corrine Kelley, RN
• Sharon Jo Kellogg, LCSW

• Family Medicine Physician in Auburn, NY
• Providers in Auburn, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.