MARK T KEIDEL


Address: 2 W Fern Ave, Redlands, CA 92373-5916
Phone: 9093354199

MARK T KEIDEL (NPI# 1134154263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134154263
Entity Type Individual
Full Name MARK T KEIDEL
Credential M.D.
Practice Address 2 W Fern Ave
Redlands
CA 92373-5916
Practice Telephone 9093354199
Mailing Telephone 9093354199
Enumeration Date 2006-07-11
Last Update Date 2008-01-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine A76937 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00A769370 05

Office Location

Street Address 2 W FERN AVE
City REDLANDS
State CA
Zip Code 92373-5916

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518962802 Sue Allison Field Anesthesiology 2 W Fern Ave, Redlands, CA 92373-5916 2005-06-14
1114535044 Jose Lopez Nurse Practitioner 2 W Fern Ave, Redlands, CA 92373-5916 2020-07-16
1275158305 Carley Marie Anderson Physician Assistant 2 W Fern Ave, Redlands, CA 92373-5916 2020-06-15
1194387373 Timothy Michael Taylor Nurse Practitioner 2 W Fern Ave, Redlands, CA 92373-5916 2019-07-08
1083180392 Janet Cantada Pharmacist 2 W Fern Ave, Redlands, CA 92373 2018-10-15
1821579335 Jacqueline Hae Yun Evans Physician Assistant 2 W Fern Ave, Redlands, CA 92373-5916 2018-08-22
1063907152 Kristen Nicole Chaves Nurse Practitioner 2 W Fern Ave, Redlands, CA 92373-5916 2018-06-29
1154823177 Angela Joan Flores Pharmacist 2 W Fern Ave, Redlands, CA 92373 2018-03-06
1619482718 Agnes Arorong Esteva Hospitalist 2 W Fern Ave, Redlands, CA 92373 2017-12-12
1578075867 Lisa Gilbert Nurse Practitioner 2 W Fern Ave, Redlands, CA 92373-5916 2017-10-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508473422 Mindfulness Counseling Services Marriage & Family Therapist 101 E. Redlands, Suite 170a, Redlands, CA 92373 2020-09-24
1710596721 Vandna Mittal Counselor 26967 Beamount Avenue, 1020 Coronado Drive, Redlands, CA 92373 2020-07-26
1164062345 Sara Bencoe Nurse Practitioner 101 E. Redlands Blvd. Ste. 106, Redlands, CA 92373 2020-01-15
1033604103 John Duane Wuchenich Anesthesiology 451 Summit Avenue, Redlands, CA 92373 2018-06-29
1013401074 Adept Hospice Care Hospice Care, Community Based 515 New Jersey St., Suite G, Redlands, CA 92373 2018-06-21
1134616121 Rodrigo Robles Student in an Organized Health Care Education/Training Program 26001 Redlands Blvd ., 2nd Floor, 2d 301, Redlands, CA 92373 2018-04-16
1760987614 Redlands Endodontics Dentist 245 Terracina Blvd Suite 207 B, Redlands, CA 92373 2018-03-23
1487164166 Tyler Stafford Behavioral Analyst 1467 Ford St. Suite 104, Redlands, CA 92373 2017-10-06
1083131486 Shannon Palmowski Behavioral Analyst Institute for Behavioral Health, 1041 Alabama Ave, Redlands, CA 92373 2017-08-25
1275062622 Erim Sarbuland Marriage & Family Therapist 101 East Redlands Boulevard, Suites #215, Redlands, CA 92373 2017-06-08
Find all providers in zip 92373

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710340195 Sherri English Family Medicine 25828 Redlands Blvd., Suite 102, Redlands, CA 92373-8450 2016-04-01
1386021145 Christen Leah Cuevas Family Medicine 1200 California St Ste 240, Redlands, CA 92374-2948 2015-04-30
1366710865 Nathan King Family Medicine 1600 E. Citrus Ave, Redlands, CA 92374-4802 2011-12-12
1568758100 Kauai Nicole Kennedy-eto Family Medicine 1711 N. Orange Street, Redlands, CA 92374-2254 2011-06-22
1932400645 Charles Edward Payton Family Medicine 10393 Enterprise Dr, Redlands, CA 92374-4525 2010-11-11
1467650069 Sophia Alexandros Family Medicine 951 Sunset Hills Ln, Redlands, CA 92373-6964 2007-07-05
1588780506 Benny Hau Family Medicine 1244 W Highland Ave, Redlands, CA 92373-6659 2007-03-21
1750467874 David Fukuda Family Medicine 721 Nevada St, Suite #406, Redlands, CA 92373-8079 2006-10-31
1558472464 Alexander Terrazas Family Medicine 1720 Sarrita Dr, Redlands, CA 92373-7222 2006-08-31
1679684807 Mohammad Moazzan Hossain Family Medicine 627 Brookside Ave, Redlands, CA 92373-4666 2006-08-31
Find all providers in REDLANDS

Competitor

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City REDLANDS
Zip Code 92373

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Dataset Information

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.

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