DANIEL BRUCE KECK JR. (NPI# 1083604573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083604573 |
| Entity Type | Individual |
| Full Name | DANIEL BRUCE KECK JR. |
| Credential | M.D. |
| Practice Address |
1221 S Broadway Lexington KY 40504-2701 |
| Practice Telephone | 8592586101 |
| Practice Fax Number | 8592584411 |
| Mailing Telephone | 8592586101 |
| Mailing Fax Number | 8592584411 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2008-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
36005 | KY | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
36005 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | RR MEDICAE PIN | P00469361 | 01 |
| KY | MEDICAID LAB GROUP# | 37903705 | 01 |
| KY | 64090475 | 05 | |
| KY | MEDICARE LAB GROUP# | 4000501 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528505229 | Daniel Keck | Nurse Practitioner | 5823 Sw 85th St, Wakarusa, KS 66546-9662 | 2017-01-19 |
| 1538459334 | Daniel S Keck | Physician Assistant | 240 Hospital Pl Ste 202, Soldotna, AK 99669-7559 | 2011-04-13 |
| Street Address |
1221 S BROADWAY |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40504-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528060779 | Nancy L. Burandt | Anesthesiology | 1221 S Broadway, Lexington, KY 40504-2701 | 2005-06-01 |
| 1578197901 | Ashlee N Swinford | Nurse Anesthetist, Certified Registered | 1221 S Broadway, Lexington, KY 40504-2701 | 2020-02-25 |
| 1104459569 | Sarah M Justice | Nurse Anesthetist, Certified Registered | 1221 S Broadway, Lexington, KY 40504-2701 | 2020-02-13 |
| 1447803754 | New Lexington Clinic, Psc | Dietitian, Registered | 1221 S Broadway, Lexington, KY 40504-2701 | 2019-07-17 |
| 1346724473 | New Lexington Clinic Psc | Internal Medicine | 1221 S Broadway, Lexington, KY 40504-2701 | 2018-09-25 |
| 1790290831 | Ashley B Arrington | Nurse Anesthetist, Certified Registered | 1221 S Broadway, Lexington, KY 40504-2701 | 2017-12-12 |
| 1306365762 | Kelsey Alexandra Woods | Nurse Practitioner | 1221 S Broadway, Lexington, KY 40504-2701 | 2017-09-16 |
| 1013466523 | Lauren Dice Smith | Nurse Practitioner | 1221 S Broadway, Lexington, KY 40504 | 2016-09-26 |
| 1073061768 | Krista Johnson | Nurse Practitioner | 1221 S Broadway, Lexington, KY 40504-2701 | 2016-09-12 |
| 1770945560 | Bethany Borders | Dietitian, Registered | 1221 S Broadway, Lexington, KY 40504-2701 | 2016-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809953 | Michael Jason Blocker | Registered Nurse | 1 St Hoseph Drive, Lexington, KY 40504 | 2020-04-09 |
| 1841842010 | Jessica Brooke Castleberry | Counselor | Chrysalis House, Inc., 1589 Hill Rise Drive, Lexington, KY 40504 | 2019-07-09 |
| 1528554474 | Hillcrest Pain & Spine Pllc | Pain Medicine | 853 Lane Allen Rd Ste 217, Lexington, KY 40504 | 2018-07-03 |
| 1366962474 | Jessica Hope King | Dentist | 1330 Harrodsburg Road, Lexington, KY 40504 | 2017-06-21 |
| 1255861076 | Mary Elizabeth Bailey | Dentist | 1330 Harrodsburg Rd, Lexington, KY 40504 | 2017-06-14 |
| 1295172211 | Alan Kidon | Podiatrist | 1401 Harrodsburg Rd Ste C115, Lexington, KY 40504 | 2013-05-31 |
| 1578847554 | Linda W Mcdaniel | Pharmacist | 2181 Harrodsburg Road, Lexington, KY 40504 | 2011-10-07 |
| 1578844197 | Amber Kincaid Ballard | Nurse Practitioner | Uk Healthcare Team Blue Primary Care Clinic, 2400 Great Stone Point, Lexington, KY 40504 | 2011-09-09 |
| 1104118124 | Harry W Tenfelde IIi | Pharmacist | 2284 Versailles Rd., Lexington, KY 40504 | 2011-05-10 |
| 1831495506 | Horizon Headache Center, Pllc | Physical Therapist | 2365 Harrodsburg Road, Suite B-100, Lexington, KY 40504 | 2011-01-28 |
| Find all providers in zip 40504 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689119570 | Commonwealth Integrity Pain Center Pllc | Anesthesiology | 3260 Blazer Pkwy Ste 102, Lexington, KY 40509-2116 | 2016-12-30 |
| 1992156400 | Arcis Healthcare, LLC | Anesthesiology | 109 Park Place Ct, Lexington, SC 29072-6690 | 2016-06-27 |
| 1700133311 | Pain Specialists of South Carolina | Anesthesiology | 200 Caughman Farm Ln, Suite A, Lexington, SC 29072-7342 | 2012-08-14 |
| 1750323366 | Central Kentucky Pain Professionals, Pllc | Anesthesiology | 2628 Wilhite Ct, Ste 101, Lexington, KY 40503-3327 | 2006-06-11 |
| 1083692982 | Timothy T Mims | Anesthesiology | 2443 Sir Barton Way Ste 275, Lexington, KY 40509 | 2006-01-03 |
| 1245238492 | Advanced Pain Medicine, Psc | Anesthesiology | 101 Prosperous Pl, Suite 300, Lexington, KY 40509-1882 | 2005-07-12 |
| 1548267222 | Zbigniew Rogozinski | Anesthesiology | 310 S Limestone Ste 100a, Lexington, KY 40508-3008 | 2005-07-07 |
| 1104468594 | Trident Pain Center P A | Anesthesiology | 4711 Sunset Blvd, Lexington, SC 29072-9151 | 2019-10-17 |
| 1740608124 | Anesthesiology Professionals of Columbia LLC | Anesthesiology | 104 Saluda Pointe Dr, Lexington, SC 29072-7295 | 2014-04-02 |
| 1790103232 | Robert Beesburg, LLC | Anesthesiology | 104 Saluda Pointe Dr, Lexington, SC 29072-7295 | 2014-04-02 |
| Find all providers in LEXINGTON | ||||
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| 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.