SHANE A KEEN (NPI# 1336510734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336510734 |
| Entity Type | Individual |
| Full Name | SHANE A KEEN |
| Credential | P.A.-C |
| Practice Address |
1735 27th St Ste 102 Portsmouth OH 45662-2679 |
| Mailing Address |
1735 27th St Ste B06 Portsmouth OH 45662-2681 |
| Practice Telephone | 7403568822 |
| Practice Fax Number | 7403560021 |
| Mailing Telephone | 7403568681 |
| Mailing Fax Number | 7403537900 |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2020-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 50.005161RX | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1735 27TH ST STE 102 |
| City | PORTSMOUTH |
| State | OH |
| Zip Code | 45662-2679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801990197 | Holly C Hannon | Psychiatry & Neurology | 1735 27th St Ste 102, Portsmouth, OH 45662-2679 | 2006-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528613346 | Stacia N Boyer | Nurse Practitioner | 1611 27th Street, Fulton Bldg Suite 101, Portsmouth, OH 45662 | 2019-08-08 |
| 1487210167 | Rose Speier | Registered Nurse | 920 Gallia Street, Portsmouth, OH 45662 | 2019-05-17 |
| 1083123491 | Megan Rhea | Case Manager/Care Coordinator | 901 Wahington St, Portsmouth, OH 45662 | 2017-09-28 |
| 1376061903 | Alanna Lee Reisinger | Physical Therapist | 522 Glenwood Ave., New Boston, OH 45662 | 2017-09-04 |
| 1871010967 | Nicole Lynne Johnson | Counselor | 800 Gallia Street Suite 600, Portsmouth, OH 45662 | 2017-08-29 |
| 1629595822 | William Zachary Nance | Counselor | 800 Gallia Street, Suite 600, Portsmouth, OH 45662 | 2017-08-28 |
| 1962929703 | Melissa Rodbell | Speech-Language Pathologist | 514 Union St., Portsmouth, OH 45662 | 2017-08-23 |
| 1346604626 | Todd Davis | Counselor | 2954 Walnut St., Portsmouth, OH 45662 | 2016-04-12 |
| 1083078406 | Gordon Sanders | Counselor | 2954 Walnut Street, Portsmouth, OH 45662 | 2016-04-12 |
| 1033573910 | Michael L Purdy | Nurse Practitioner | 1735 27th Street Waller Bldg Suite 302, Portsmouth, OH 45662 | 2016-04-07 |
| Find all providers in zip 45662 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619584869 | Elizabeth Fiorentino | Physician Assistant | 500 Market St Unit 1e, Portsmouth, NH 03801-3456 | 2020-09-30 |
| 1275184970 | Jillian Mccolgan | Physician Assistant | 111 Nh Ave Ste 2, Portsmouth, NH 03801-2864 | 2019-09-24 |
| 1235607193 | Alison Jeanne Mailloux | Physician Assistant | 500 Market St Unit 1b, Portsmouth, NH 03801-3456 | 2018-11-08 |
| 1275051765 | Kevin Dillon Macdonald | Physician Assistant | 1735 27th St Ste 108, Portsmouth, OH 45662-2679 | 2017-09-05 |
| 1104147701 | Erica Nania | Physician Assistant | 155 Borthwick Ave Ste 202w, Portsmouth, NH 03801-7119 | 2010-06-17 |
| 1215255658 | Jennifer D. Roberts Do LLC | Physician Assistant | 1735 27th St Ste 206a, Portsmouth, OH 45662-0009 | 2010-05-10 |
| 1972739332 | Shannon J. Hanvey | Physician Assistant | 3235 Academy Ave Ste 101, Portsmouth, VA 23703-3200 | 2009-05-29 |
| 1548409717 | Zachary Nathanial Latimer | Physician Assistant | 330 Borthwick Ave Ste 107, Portsmouth, NH 03801-7110 | 2009-02-11 |
| 1053496380 | Michael D Steely | Physician Assistant | 1248 Kinneys Ln, Portsmouth, OH 45662-2927 | 2006-10-26 |
| 1326080250 | Kathy A Long | Physician Assistant | 1 Ayer Cir Bldg H1, Portsmouth, NH 03804-4402 | 2006-06-12 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 45662 |
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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.