JOSEPH J KEELEY (NPI# 1093752370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093752370 |
| Entity Type | Individual |
| Full Name | JOSEPH J KEELEY |
| Credential | MD |
| Practice Address |
1801 Windsor Rd Champaign IL 61822-6217 |
| Mailing Address |
101 W University Ave Champaign IL 61820-3909 |
| Practice Telephone | 2173661257 |
| Practice Fax Number | 2173666106 |
| Mailing Telephone | 2173668107 |
| Mailing Fax Number | 2173666106 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2015-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 036127075 | IL | Allopathic & Osteopathic Physicians |
| N | 2084P0005X |
Psychiatry & Neurology Specialization: Neurodevelopmental Disabilities |
ME75445 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 42928 | 01 |
| FL | 253779600 | 05 | |
| RAILROAD MEDICARE | 370010629 | 01 |
| Street Address |
1801 WINDSOR RD |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61822-6217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720066251 | Heather Konzelmann | Physician Assistant | 1801 Windsor Rd, Champaign, IL 61822-6217 | 2006-01-05 |
| 1861865305 | Tara Schultz | Nurse Practitioner | 1801 Windsor Rd, Champaign, IL 61822-6217 | 2015-11-05 |
| 1588046288 | Michael Kuhlenschmidt | Internal Medicine | 1801 Windsor Rd, Champaign, IL 61822-6217 | 2015-06-18 |
| 1154724623 | Joanita Maison | Nurse Practitioner | 1801 Windsor Rd, Champaign, IL 61822-6217 | 2014-09-29 |
| 1760899090 | Obiajulu Patrick Onwuekwe | Registered Nurse | 1801 Windsor Rd, Champaign, IL 61822-6217 | 2014-07-18 |
| 1336555184 | Natalie Jefferson | Registered Nurse | 1801 Windsor Rd, Champaign, IL 61822-6217 | 2014-07-01 |
| 1700214244 | Katerina Rosenbeck | Nurse Practitioner | 1801 Windsor Rd, Champaign, IL 61822-6217 | 2013-10-18 |
| 1982959516 | Leslie Baker Horner | Pharmacist | 1801 Windsor Rd, Champaign, IL 61822-6217 | 2012-07-19 |
| 1417222670 | Tegan Mccormick | Internal Medicine | 1801 Windsor Rd, Champaign, IL 61822-6217 | 2012-03-20 |
| 1356645667 | Lindsey George | Family Medicine | 1801 Windsor Rd, Champaign, IL 61822-6217 | 2010-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083180830 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 2718 N Prospect Avenue, Champaign, IL 61822 | 2018-10-19 |
| 1487129730 | Siegfred T. Celis | Occupational Therapy Assistant | 1820 Oak Park Drive, Champaign, IL 61822 | 2018-10-12 |
| 1134633746 | Osf Healthcare System | Home Health | 1501 Interstate Dr Ste C, Champaign, IL 61822 | 2017-11-20 |
| 1386164200 | Carlo Sandico | Physical Therapist | 612 Corey Lane, Champagne, IL 61822 | 2017-06-21 |
| 1295270288 | Jennifer Lee Lugo | Registered Nurse | 3101 Fields South Dr., Champaign, IL 61822 | 2016-12-29 |
| 1902341209 | Jala Simmons | Behavioral Analyst | 4112 Fieldstone Rd, Suite B, Champaign, IL 61822 | 2016-12-22 |
| 1639552433 | Muhammad Ajmal | Internal Medicine | 1701 Curtis Road, Carle Clinic, Champaign, IL 61822 | 2015-06-30 |
| 1518363761 | Margaret A. Hallden | Hearing Instrument Specialist | 3354 Big Pine Trail #c, Audibel Hearing Aids, Champaign, IL 61822 | 2014-11-17 |
| 1801291638 | Kristen Karlsen | Pharmacist | 3114 Village Office Place, Champaign, IL 61822 | 2014-10-22 |
| 1649601543 | Jeff Chu | Optometrist | 507 W. Town Center Blvd, Champaign, IL 61822 | 2013-12-03 |
| Find all providers in zip 61822 | ||||
| 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 |
|---|---|---|---|---|
| 1861870099 | Whitney Gutierrez | Pediatrics | 1801 W Windsor Rd, Champaign, IL 61822-6217 | 2015-05-07 |
| 1326435074 | Laura L Edwards | Pediatrics | 1801 W Windsor Rd, Champaign, IL 61822-6217 | 2015-04-21 |
| 1447683487 | Brian T Mcginn | Pediatrics | 1701 W. Curtis Rd., Pediatrics, Champaign, IL 61822-9678 | 2013-08-13 |
| 1689014839 | Alexis Mari Orama | Pediatrics | 1801 W Windsor Rd, Champaign, IL 61822-6217 | 2013-07-02 |
| 1184970386 | Haley E Eastin | Pediatrics | 1701 W. Curtis Rd., Champaign, IL 61822-9678 | 2012-07-25 |
| 1558628396 | Dionne Vanessa Smith | Pediatrics | 1701 W. Curtis Rd., Champaign, IL 61822-9678 | 2012-04-18 |
| 1669791166 | Sean Patrick Fullan | Pediatrics | 1701 W. Curtis Road, Champaign, IL 61822-9678 | 2010-05-24 |
| 1093975443 | Myisha Z. Porter | Pediatrics | 1801 Windsor Rd, Champaign, IL 61822-6217 | 2008-06-10 |
| 1427169127 | Jane E Striegel | Pediatrics | 1701 W. Curtis Road, Pediatrics, Champaign, IL 61822 | 2006-08-31 |
| 1588674105 | Maria Louisa B. Maranon | Pediatrics | 1801 Windsor Rd, Champaign, IL 61822-6217 | 2006-08-08 |
| Find all providers in CHAMPAIGN | ||||
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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.