DR. KRISTIE LYNN KEETON (NPI# 1295855070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295855070 |
| Entity Type | Individual |
| Full Name | DR. KRISTIE LYNN KEETON |
| Credential | MD |
| Practice Address |
4918 W Clark Rd Ste 104 Ypsilanti MI 48197-1142 |
| Mailing Address |
24 Frank Lloyd Wright Dr Po Box 0446 Lobby J Ann Arbor MI 48105-9484 |
| Practice Telephone | 7345289125 |
| Practice Fax Number | 7345289263 |
| Mailing Telephone | 7347476766 |
| Mailing Fax Number | 7342223100 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 4301074290 | MI | Allopathic & Osteopathic Physicians |
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
4301074290 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
4918 W CLARK RD STE 104 |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-1142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396805834 | Pooja Mittal Green | Obstetrics & Gynecology | 4918 W Clark Rd Ste 104, Ypsilanti, MI 48197-1142 | 2006-12-12 |
| 1023356748 | Deborah Lee Squire | Nurse Practitioner | 4918 W Clark Rd Ste 104, Ypsilanti, MI 48197-1142 | 2013-01-31 |
| 1245359165 | Jennifer Anne Williams | Obstetrics & Gynecology | 4918 W Clark Rd Ste 104, Ypsilanti, MI 48197-1142 | 2007-03-29 |
| 1760539381 | Iha Health Services Corporation | Obstetrics & Gynecology | 4918 W Clark Rd Ste 104, Ypsilanti, MI 48197-1142 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780658443 | St Joseph Mercy Hospital | Obstetrics & Gynecology | 5301 Huron River Drive, Ypsilanti, MI 48197-1051 | 2006-02-17 |
| 1407094600 | St Joseph Mercy Hospital | Obstetrics & Gynecology | 5333 Mcauley Drive, Suite 2110, Ypsilanti, MI 48197-1051 | 2009-01-26 |
| 1659499705 | St Joseph Mercy Hospital | Obstetrics & Gynecology | 5333 Mcauley Drive, Suite 2017, Ypsilanti, MI 48197-1096 | 2007-03-27 |
| 1760539381 | Iha Health Services Corporation | Obstetrics & Gynecology | 4918 W Clark Rd Ste 104, Ypsilanti, MI 48197-1142 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669854816 | Spectrum Health Primary Care Partners | Obstetrics & Gynecology | 4249 Parkway Place Dr Sw, Grandville, MI 49418-2679 | 2015-06-24 |
| 1588840573 | Silvio Aladjem | Obstetrics & Gynecology | 1655 W State Rd, Hastings, MI 49058-8557 | 2008-01-21 |
| 1659572329 | Erhard Herwig Marz | Obstetrics & Gynecology | 1767 S M 52, Owosso, MI 48867-9201 | 2007-05-30 |
| 1487694949 | Susan Berman | Obstetrics & Gynecology | 4201 St Antoine Ste 4e&f, University Health Center, Detroit, MI 48201 | 2006-06-06 |
| 1164469680 | Bernard Gonik | Obstetrics & Gynecology | Sinai Grace Hospital-atenatal Diagnostic Unit, 6071 W Outer Dr, Detroit, MI 48235 | 2006-06-01 |
| 1285685503 | Sara H Garmel | Obstetrics & Gynecology | 2142 Monroe St Ste 100, Dearborn, MI 48124-3057 | 2006-05-12 |
| 1619926185 | Susan J. Sherman | Obstetrics & Gynecology | 43077 Brookstone Dr, Novi, MI 48377-2714 | 2006-05-10 |
| 1083663983 | Gregory L Goyert | Obstetrics & Gynecology | 3301 W Grand St, 8th Floor, Detroit, MI 48238-2793 | 2006-05-08 |
| 1861470296 | Mark E Redman | Obstetrics & Gynecology | 17400 W 13 Mile Rd, Beverly Hills, MI 48025-5439 | 2006-01-05 |
| 1235136599 | William B Blessed | Obstetrics & Gynecology | 22255 Greenfield Rd, Ste 350, Southfield, MI 48075-3712 | 2005-07-01 |
| Find all providers with the same taxonomy | ||||
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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.