MS. LAURIE KEOGH (NPI# 1336509181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336509181 |
Entity Type | Individual |
Full Name | MS. LAURIE KEOGH |
Credential | MPH, PA-C |
Practice Address |
1113 Sherman St Saint Paul NE 68873-1546 |
Mailing Address |
1113 Sherman St Po Box 406 Saint Paul NE 68873-1546 |
Practice Telephone | 3087544421 |
Practice Fax Number | 3087544429 |
Mailing Telephone | 3087544421 |
Mailing Fax Number | 3087544429 |
Enumeration Date | 2016-03-07 |
Last Update Date | 2016-03-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2001 | NE | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1113 SHERMAN ST |
City | SAINT PAUL |
State | NE |
Zip Code | 68873-1546 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922106152 | Howard County Medical Center | General Acute Care Hospital | 1113 Sherman St, Saint Paul, NE 68873 | 2006-09-20 |
1184267072 | Kassandra Knapp | Speech-Language Pathologist | 1113 Sherman St, Saint Paul, NE 68873-1546 | 2019-10-23 |
1740762632 | Brooke D Lukasiewicz | Registered Nurse | 1113 Sherman St, Saint Paul, NE 68873-1546 | 2018-09-06 |
1942782834 | Jennifer L Klanecky | Registered Nurse | 1113 Sherman St, Saint Paul, NE 68873-1546 | 2018-09-06 |
1669958898 | Howard County Medical Center | Family Medicine | 1113 Sherman St, Saint Paul, NE 68873-1546 | 2018-07-11 |
1962936880 | Krista C Bauder | Physician Assistant | 1113 Sherman St, Saint Paul, NE 68873-1546 | 2017-04-18 |
1144751769 | Erica Eberle | Physician Assistant | 1113 Sherman St, Saint Paul, NE 68873-1546 | 2017-03-24 |
1720529183 | Joseph Ziemba | Counselor | 1113 Sherman St, Saint Paul, NE 68873-1546 | 2017-03-17 |
1972959823 | Kaitlin D. Hahn | Family Medicine | 1113 Sherman St, Saint Paul, NE 68873-1546 | 2016-05-10 |
1053787085 | Taylor Gregory Majerus | Physical Therapist | 1113 Sherman St, Saint Paul, NE 68873-1546 | 2015-08-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306944558 | Howard County Medical Clinic | Family Medicine | 1122 Kendall Street, Saint Paul, NE 68873-0405 | 2006-09-20 |
1558347849 | Christopher W Tomhave | Family Medicine | 1113 Sherman Street, Saint Paul, NE 68873-0406 | 2005-12-19 |
1538482690 | Kelli A Platek | Physician Assistant | 1113 Sherman Street, Saint Paul, NE 68873-0406 | 2010-03-03 |
1063451888 | Angela Sue Brennan | Family Medicine | 1113 Sherman Street, Saint Paul, NE 68873-0406 | 2006-06-06 |
1134105463 | Jared S Kramer | Family Medicine | 1113 Sherman Street, St Paul, NE 68873-0406 | 2005-12-19 |
1740573294 | Matelyn Retirement Community | Assisted Living Facility | 602 O St, Saint Paul, NE 68873-1200 | 2011-05-17 |
1902387954 | Madison Hansen | Registered Nurse | 1305 Howard Ave, Saint Paul, NE 68873-1402 | 2018-08-28 |
1891300448 | Alissa Lynne Knapp | Registered Nurse | 1305 Howard Ave, Saint Paul, NE 68873-1402 | 2020-09-10 |
1902190630 | Kelly Jean Simeon | Physical Therapy Assistant | 920 Jackson St, Saint Paul, NE 68873-1413 | 2011-05-28 |
1801029293 | Family First Dental Associates of West Point, P.C. | Dentist | 809 6th St, Saint Paul, NE 68873-1604 | 2009-09-01 |
Find all providers in zip 68873 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
1003258690 | Jenny Rebecca Kluznik | Physician Assistant | 1619 Dayton Ave Ste 205, Saint Paul, MN 55104 | 2013-07-23 |
1538439534 | Meghan Eileen Goff | Physician Assistant | 212 7th St E, Apt 204, Saint Paul, MN 55101-2373 | 2012-01-06 |
1003899527 | Christopher Lawrence Kaye | Physician Assistant | 640 Jackson Street, Saint Paul, MN 55101 | 2005-11-29 |
1578113932 | Alyssa Shenyeng Moualee | Physician Assistant | 1239 Payne Ave, Saint Paul, MN 55130-3667 | 2019-09-18 |
1790338754 | Mikaela Pierson | Physician Assistant | 153 Cesar Chavez St, Saint Paul, MN 55107-2226 | 2019-07-18 |
1508425711 | Sopida N/a Wunder | Physician Assistant | 1983 Sloan Pl Ste 11, Saint Paul, MN 55117-2004 | 2019-06-11 |
1780159533 | Andrew Kenneth Gernand | Physician Assistant | 640 Jackson St, Saint Paul, MN 55101-2595 | 2018-10-08 |
1205350204 | Soua Vang | Physician Assistant | 1983 Sloan Pl Ste 1, Saint Paul, MN 55117-2095 | 2017-08-01 |
1588184634 | Katharine Elizabeth Boyd | Physician Assistant | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2017-06-20 |
Find all providers in SAINT PAUL |
City | SAINT PAUL |
Zip Code | 68873 |
Please comment or provide details below to improve the information on MS. LAURIE KEOGH.
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.