MR. KEITH CHARLES DAMICO (NPI# 1285704585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285704585 |
| Entity Type | Individual |
| Full Name | MR. KEITH CHARLES DAMICO |
| Credential | PAC |
| Practice Address |
5235 Nc 226 S Marion NC 28752-8733 |
| Mailing Address |
Po Box 448 Crossnore NC 28616-0448 |
| Practice Telephone | 8287667278 |
| Practice Fax Number | 8227662849 |
| Mailing Telephone | 8287667278 |
| Mailing Fax Number | 8227662849 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2009-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
102719 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89018TB | 05 |
| Street Address |
5235 NC 226 S |
| City | MARION |
| State | NC |
| Zip Code | 28752-8733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255598413 | Keith C Damico Pac Professional Association | Internal Medicine | 5235 Nc 226 S, Marion, NC 28752-8733 | 2008-05-16 |
| 1013088954 | Keith C Damico Pa C Professional Association | Physician Assistant | 5235 Nc 226 S, Marion, NC 28752-8733 | 2006-11-13 |
| 1619047123 | Mcdowell Assisted Living,llc | Assisted Living Facility | 5235 Nc 226 S, Marion, NC 28752-8733 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932758810 | Teresa Gay Schism | Technician | 1756 Toms Creek Road, Marion, NC 28752 | 2019-09-04 |
| 1932646205 | Courtney Abrams | Physician Assistant | 472 Rankin Dr., Marion, NC 28752 | 2017-01-25 |
| 1780127548 | Invitation Therapy | Clinic/Center | 364 Us 70 W Ste 3, Marion, NC 28752 | 2016-11-28 |
| 1508311580 | Young Men Christian Association of Western North Carolina | Health Educator | 348 Grace Corpening Drive, Marion, NC 28752 | 2016-08-19 |
| 1417384322 | Cancer Care of Wnc, Pa | Internal Medicine | 430 Rankin Drive, Marion, NC 28752 | 2013-10-09 |
| 1578990875 | Brian Michael Ware | Family Medicine | 5623 Hwy Us 221 South, Marion, NC 28752 | 2013-10-01 |
| 1689996332 | Southmountain Children and Family Services | Specialist | 81 W Fort St, Marion, NC 28752 | 2010-02-23 |
| 1134367345 | Duramed Equipment LLC | Durable Medical Equipment & Medical Supplies | 2024 Nix Creek Rd, Ste B, Marion, NC 28752 | 2009-01-26 |
| 1326294695 | Mcdowell Hospital | Obstetrics & Gynecology | 1633 Sugar Hill Road, Suite 1, Marion, NC 28752 | 2008-08-18 |
| 1114173382 | Adrienne Stearns Goodfred | Physical Therapist | 44 Pine Top Drive, Marion, NC 28752 | 2008-08-07 |
| Find all providers in zip 28752 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578178679 | Amelia Kate Stigall | Physician Assistant | 1301 E Deyoung St, Marion, IL 62959-3846 | 2020-09-15 |
| 1689223208 | Emily Jane Bodfish | Physician Assistant | 1204 N Main St, Marion, VA 24354-4312 | 2019-09-06 |
| 1306343512 | Cody Jordan Harris | Physician Assistant | 970 S Prospect St, Marion, OH 43302-6225 | 2018-04-12 |
| 1174989800 | Andrew Michael Bandsuh | Physician Assistant | 1000 Mckinley Park Dr, Marion, OH 43302-6399 | 2016-01-11 |
| 1295108363 | Julia Petraitis | Physician Assistant | 1728 Marion Waldo Rd, Marion, OH 43302-7457 | 2015-11-11 |
| 1396146460 | Cameron M Ratcliff | Physician Assistant | 1616 N Main St, Ste 100a, Marion, VA 24354-4473 | 2014-09-09 |
| 1447593694 | Harry William Howe | Physician Assistant | 1583 N Main St, Marion, VA 24354-4317 | 2013-04-05 |
| 1295088748 | Zed Alex Mansfield | Physician Assistant | 2293 Sugar Hill Rd Ste D, Marion, NC 28752-7787 | 2012-10-22 |
| 1003079328 | Karen Pauley | Physician Assistant | 402 S State St, Marion, OH 43302-5000 | 2008-07-07 |
| 1033380613 | Crittenden County Hospital | Physician Assistant | 520 W Gum St, Marion, KY 42064-1516 | 2008-03-21 |
| Find all providers in MARION | ||||
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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.