DR. DAVID W KECKICH (NPI# 1356370571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356370571 |
| Entity Type | Individual |
| Full Name | DR. DAVID W KECKICH |
| Credential | M.D. |
| Practice Address |
269 S Candy Ln Cottonwood AZ 86326-4158 |
| Mailing Address |
1200 N Beaver St Payer Credentialing Flagstaff AZ 86001-3118 |
| Practice Telephone | 9286497991 |
| Practice Fax Number | 9286497992 |
| Mailing Telephone | 9282136235 |
| Mailing Fax Number | 9282136292 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2016-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
37780 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 437073 | 05 |
| Street Address |
269 S CANDY LN |
| City | COTTONWOOD |
| State | AZ |
| Zip Code | 86326-4158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356345383 | Eugene M.r. Charlebois | Emergency Medicine | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2005-06-08 |
| 1306463740 | Riley Benjamin Johnson | Dietitian, Registered | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2020-07-01 |
| 1821619891 | Joshua Thomas Haywood | Student in an Organized Health Care Education/Training Program | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2020-04-30 |
| 1396364162 | Jeremy Schmoyer | Student in an Organized Health Care Education/Training Program | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2020-04-13 |
| 1144849993 | Miranda Rose Anderson | Student in an Organized Health Care Education/Training Program | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2020-04-12 |
| 1659900876 | Eddie Khav | Student in an Organized Health Care Education/Training Program | 269 S Candy Ln, Cottonwood, AZ 86326-4170 | 2020-04-08 |
| 1790314961 | Michelle Anne Pope | Student in an Organized Health Care Education/Training Program | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2020-04-08 |
| 1699320390 | Emily Kathryn Danca | Dietitian, Registered | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2019-08-08 |
| 1760036909 | Tarra Denise Young | Nurse Practitioner | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2019-07-25 |
| 1275195950 | Samer Saeed Hasson | Student in an Organized Health Care Education/Training Program | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2019-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679954895 | Isabelle Maisse Griffith | Pharmacist | 1100 E Highway 89a, Cottonwood, AZ 86326 | 2015-06-12 |
| 1184982266 | Northern Arizona Healthcare Provider Group, LLC | Family Medicine | 450 South Willard Street, Cottonwood, AZ 86326 | 2012-04-26 |
| 1922391663 | Ronald D. Carsrud | Hearing Instrument Specialist | 657 E Cottonwood St., Ste 6c, Cottonwood, AZ 86326 | 2011-05-26 |
| 1760712749 | Chuck Thomas Calvano | Pharmacist | 550 S Main, Cottonwood, AZ 86326 | 2010-01-13 |
| 1528231438 | Elizabeth Lightner Mccarrell | Emergency Medicine | 269 S Candy Lane, Cottonwood, AZ 86326 | 2008-04-11 |
| 1972783355 | The Wick Home for Emotional Growth and Recovery | Residential Treatment Facility, Emotionally Disturbed Children | 2102 E Fir St, Cottonwood, AZ 86326 | 2007-11-14 |
| 1750560165 | David T Sayle | Nurse Practitioner | 800 Cove Parkway, Cottonwood, AZ 86326 | 2007-11-01 |
| 1003001033 | Country Care Inc | Assisted Living Facility | 3980 E Cassie Lane, Cottonwood, AZ 86326 | 2007-09-12 |
| 1154527778 | Laurel A Mueller | Family Medicine | 51 Brian Mickelsen Pkwy, Community Health Center of Yavapai, Cottonwood, AZ 86326 | 2007-06-21 |
| 1841401700 | Bruce Alan Moseng | Chiropractor | 240 Jennifer Lane, Ste 103, Cottonwood, AZ 86326 | 2007-05-24 |
| Find all providers in zip 86326 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417215229 | Northern Arizona Healthcare Provider Group, LLC | Internal Medicine | 450 S Willard St, Cottonwood, AZ 86326-6743 | 2012-04-30 |
| 1952332470 | Margaret F. Kobe | Internal Medicine | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225658750 | Arizona Valley Infectious Diseases Plc | Internal Medicine | 13531 E Ocotillo Rd, Scottsdale, AZ 85259-2316 | 2020-04-24 |
| 1942695978 | Odero Consultants | Internal Medicine | 7000 N 16th St Ste 120, Phoenix, AZ 85020-5524 | 2015-04-07 |
| 1194026757 | John Gregory Corcoran | Internal Medicine | 5265 East Knight Drive, Tucson, AZ 85712 | 2010-11-12 |
| 1548574320 | Ahmad Mamdouh Ahmad Salameh | Internal Medicine | 13055 W Mcdowell Rd Ste E109, Avondale, AZ 85392-6457 | 2010-08-04 |
| 1194038505 | Logan Paolo Locsin Felix | Internal Medicine | 2001 W Orange Grove Rd Ste 404, Tucson, AZ 85704 | 2010-07-15 |
| 1942430418 | Nestor Varon Md PC | Internal Medicine | 29729 N 69th Ln, Peoria, AZ 85383-3185 | 2009-07-20 |
| 1780813725 | Georgiana Georgescu | Internal Medicine | 18301 N 79th Ave Ste C136, Glendale, AZ 85308-8471 | 2009-07-13 |
| 1811126303 | Sudha Nagalingam | Internal Medicine | 1230 S Cherrybell Stra, Tucson, AZ 85713-1907 | 2009-07-06 |
| 1417117920 | Michael Amoa Asare LLC | Internal Medicine | 3555 Val Vista Drvie, Mercy Gilbert Hospital, Gilbert, AZ 85296 | 2008-06-10 |
| 1154594695 | Joseph K Zachariah, Do, PC | Internal Medicine | 4723 E Desert Park Pl, Paradise Valley, AZ 85253-2949 | 2008-04-04 |
| Find all providers with the same taxonomy | ||||
| City | COTTONWOOD |
| Zip Code | 86326 |
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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.