DR. SHANNON BECK KEATING (NPI# 1447559620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447559620 |
| Entity Type | Individual |
| Full Name | DR. SHANNON BECK KEATING |
| Credential | D.O. |
| Practice Address |
1625 Se 3rd Ave Ste 525 Fort Lauderdale FL 33316-2521 |
| Mailing Address |
1700 Nw 49th St Ste 125 Fort Lauderdale FL 33309-3750 |
| Practice Telephone | 9543554975 |
| Practice Fax Number | 9543555898 |
| Mailing Telephone | 9543554975 |
| Mailing Fax Number | 9543555898 |
| Enumeration Date | 2011-03-27 |
| Last Update Date | 2018-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | OS 12795 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
OS12795 | FL | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | OS 12795 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063755692 | Shannon Keating | Licensed Practical Nurse | 1680 Walden Ave, Cheektowaga, NY 14225-4914 | 2013-04-02 |
| 1447239215 | Shannon M. Keating | Emergency Medicine | 901 45th St, Mangonia Park, FL 33407-2413 | 2006-01-11 |
| Street Address |
1625 SE 3RD AVE STE 525 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33316-2521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174591598 | Dennis John Tishko | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1625 Se 3rd Ave Ste 525, Fort Lauderdale, FL 33316-2521 | 2006-03-10 |
| 1124567664 | Vanessa Hanna | Nurse Practitioner | 1625 Se 3rd Ave Ste 525, Fort Lauderdale, FL 33316-2521 | 2017-02-16 |
| 1801208764 | Maria Farrell | Family Medicine | 1625 Se 3rd Ave Ste 525, Fort Lauderdale, FL 33316-2521 | 2014-05-27 |
| 1598194441 | Mahalah Louse U J Batto | Nurse Practitioner | 1625 Se 3rd Ave Ste 525, Fort Lauderdale, FL 33316-2521 | 2013-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
| 1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
| 1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
| 1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
| 1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
| 1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
| 1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
| 1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
| Find all providers in zip 33316 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942211370 | Archana Maini | Internal Medicine | Broward General Medical Center, 1625 Se 3rd Ave, #525, Fort Lauderdale, FL 33312 | 2006-08-10 |
| 1720013790 | Israel Wiznitzer | Internal Medicine | 1625 Se 3rd Ave Ste 125, Fort Lauderdale, FL 33316-2521 | 2006-07-11 |
| 1376010314 | Linda Igbinoba | Internal Medicine | 1330 Se 4th Ave, Suite J, Fort Lauderdale, FL 33316-1958 | 2018-10-29 |
| 1932640133 | Jeffrey Weisberg | Internal Medicine | 901 S Federal Hwy, #300, Fort Lauderdale, FL 33316-1266 | 2017-03-20 |
| 1265743017 | Georges Azzi | Internal Medicine | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4603 | 2010-06-27 |
| 1407180615 | David Z. Drew | Internal Medicine | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4603 | 2009-09-22 |
| 1972752335 | North Broward Hospital District | Internal Medicine | 1625 Se 3rd Ave, Suite 717, Fort Lauderdale, FL 33316-2521 | 2008-09-10 |
| 1982852190 | Tricia L Kalwar | Internal Medicine | 1625 Se 3rd Ave, Suite 525, Fort Lauderdale, FL 33316-2521 | 2008-08-29 |
| 1053355701 | Mehmet Fatih Gokhan Hepgur | Internal Medicine | 1625 Se 3rd Ave, Suite 525, Fort Lauderdale, FL 33316-2521 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194343210 | Jayaben Patel | Internal Medicine | 11818 Shire Wycliffe Ct, Tampa, FL 33626-3329 | 2020-07-07 |
| 1922628833 | Heme Onc Call, LLC | Internal Medicine | 5825 Sw 117th St, Pinecrest, FL 33156-5007 | 2020-04-21 |
| 1457851552 | Yvette M Herrington | Internal Medicine | 425 S Parsons Ave Ste 101, Brandon, FL 33511-5290 | 2018-02-15 |
| 1104360221 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 658 Oviedo Medical Drive, Oviedo, FL 32765 | 2016-12-08 |
| 1225424369 | Florence Arnold | Internal Medicine | 3830 Bee Ridge Rd Ste 301, Sarasota, FL 34233 | 2015-04-15 |
| 1073901187 | Edward Mcaloon | Internal Medicine | 108 Homeport Dr, Palm Harbor, FL 34683-5409 | 2014-12-26 |
| 1063818235 | Barry M. Krein | Internal Medicine | 4220 Careywood Dr, Melbourne, FL 32934-7679 | 2014-11-14 |
| 1912311630 | David Longacre | Internal Medicine | 2439 Weymouth Dr, Clearwater, FL 33764-6556 | 2014-06-20 |
| 1508270778 | Gerard Chaaya | Internal Medicine | 4306 Alton Rd Fl 3, Miami Beach, FL 33140-2840 | 2014-06-16 |
| 1982026670 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 2100 W 1st St, Sanford, FL 32771-1603 | 2014-01-14 |
| Find all providers with the same taxonomy | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33316 |
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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.