DR. BRIAN WILLIAM KEENAN (NPI# 1063699163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063699163 |
| Entity Type | Individual |
| Full Name | DR. BRIAN WILLIAM KEENAN |
| Credential | M.D. |
| Practice Address |
1701 Lacey St Emergency Department Cape Girardeau MO 63701-5230 |
| Practice Telephone | 5733316549 |
| Practice Fax Number | 5736515848 |
| Mailing Telephone | 5733316549 |
| Mailing Fax Number | 5736515848 |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2014-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 2014037017 | MO | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 2013-01907 | NC | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 294252 | LA | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 2007024787 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2106856 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144752171 | Brian Haller Keenan | Naturopath | 1495 Palm St, San Luis Obispo, CA 93401-2937 | 2017-03-29 |
| Street Address |
1701 LACEY ST EMERGENCY DEPARTMENT |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63701-5230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659376234 | Robert Elvie Perry | Internal Medicine | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2005-06-20 |
| 1457951279 | William Lee Harris | Nurse Practitioner | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2020-10-30 |
| 1154940344 | Jacob Scott Wren | Registered Nurse | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2020-04-08 |
| 1376174227 | Ashtin Paige Cohn | Nurse Practitioner | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2020-01-30 |
| 1033757992 | Matthew Nanney | Nurse Anesthetist, Certified Registered | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2019-12-11 |
| 1689211252 | Southeast Health | Nurse Anesthetist, Certified Registered | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2019-12-03 |
| 1184269771 | Amanda M Hill | Registered Nurse | 1701 Lacey St, Medtele, Cape Girardeau, MO 63701 | 2019-11-07 |
| 1205480795 | Brittney Faith Sanford | Registered Nurse | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2019-08-01 |
| 1104383017 | Jamie Kristen Rich | Nurse Anesthetist, Certified Registered | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2019-02-27 |
| 1417427584 | Michele Cox | Registered Nurse | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2018-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748110 | Westbrook Dialysis, LLC | Clinic/Center | 140 West Drive, Cape Girardeau, MO 63701 | 2020-10-22 |
| 1972079580 | Savannah Laine Menard | Behavior Technician | 20 S. Sprigg St, Cape Girardeau, MO 63701 | 2018-10-22 |
| 1932690377 | Broadway Specialty, LLC | Pharmacy | 706 Broadway St, Cape Girardeau, MO 63701 | 2018-05-22 |
| 1356864649 | Terri L. Mccord | Pharmacist | 4170 Connor Dr, Cape Girardeau, MO 63701 | 2017-07-19 |
| 1013459312 | Christina Cossou | Nurse Practitioner | 2116 Megan Dr Ste 102, Cape Girardeau, MO 63701 | 2016-11-17 |
| 1124573365 | Ashley Sullivan | Massage Therapist | 3041 Melrose Ave, Cape Girardeau, MO 63701 | 2016-08-17 |
| 1225432172 | Axpm - Merkley, LLC | Dentist | 2116 Megan Dr., Suite 101, Cape Girardeau, MO 63701 | 2014-10-21 |
| 1639573397 | Marian Perez Hurt | Physical Therapist | 2001 N. Kingshighway, Fountainbleau Lodge, Cape Girardeau, MO 63701 | 2014-10-09 |
| 1891194213 | Deanna Abner | Case Manager/Care Coordinator | 20 South Sprigg, Cape Girardeau, MO 63701 | 2014-08-21 |
| 1831506880 | Kwadwo O Britwum | Behavioral Analyst | Morningstar Behavioral Associates, 338 W. Broadway Suite 301, Cape Girardeau, MO 63701 | 2014-07-22 |
| Find all providers in zip 63701 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366524472 | Gary S. Olson | Pediatrics | 35 Doctors Park, Cape Girardeau, MO 63703-4927 | 2006-10-19 |
| 1942556089 | Jean Paula Diemer | Pediatrics | 3250 Gordonville Rd, Suite 301, Cape Girardeau, MO 63703-5056 | 2012-07-26 |
| 1679861785 | Chelsea Nicole Grigery | Pediatrics | 25 Doctors Park, Cape Girardeau, MO 63703-4927 | 2011-07-11 |
| 1346534351 | Kali D Francis | Pediatrics | 25 Doctors Park, Cape Girardeau, MO 63703-4927 | 2011-06-07 |
| 1295048411 | Amjad Taha | Pediatrics | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2010-07-16 |
| 1245479419 | Greg Edward Cugini | Pediatrics | 25 Doctors Park, Cape Girardeau, MO 63701 | 2009-02-11 |
| 1609041052 | Alan R Barnette | Pediatrics | 211 Saint Francis Dr, Cape Girardeau, MO 63703-5049 | 2008-04-28 |
| 1609895481 | James E Hoffman | Pediatrics | 3250 Gordonville Rd, Ste 301, Cape Girardeau, MO 63703-5056 | 2006-07-19 |
| 1962432526 | Heather K Dodson | Pediatrics | 3250 Gordonville Rd, Ste 301, Cape Girardeau, MO 63703-5056 | 2006-07-03 |
| 1821026543 | Beverly Brown | Pediatrics | 3250 Gordonville Rd, Ste 301, Cape Girardeau, MO 63703-5056 | 2006-06-29 |
| Find all providers in CAPE GIRARDEAU | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63701 |
Please comment or provide details below to improve the information on DR. BRIAN WILLIAM KEENAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.