DR. GREGORY LANE KEFFER (NPI# 1487618294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487618294 |
| Entity Type | Individual |
| Full Name | DR. GREGORY LANE KEFFER |
| Credential | MD |
| Practice Address |
111 Avenue F Bay City TX 77414-4117 |
| Mailing Address |
2100 Regional Medical Dr Wharton TX 77488-9719 |
| Practice Telephone | 9792459754 |
| Practice Fax Number | 9792443750 |
| Mailing Telephone | 9795321700 |
| Mailing Fax Number | 9795324584 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2013-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | H3086 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAILROAD MEDICARE # | PO1209193 | 01 |
| TX | BC/BS # | 8DE531 | 01 |
| TX | 114508802 | 05 | |
| TX | 114508806 | 05 | |
| TX | RAILROAD GBA - RAILROAD MEDICARE | 160039179 | 01 |
| TX | BC/BS TX# | 83Y420 | 01 |
| Street Address |
111 AVENUE F |
| City | BAY CITY |
| State | TX |
| Zip Code | 77414-4117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821052358 | James E. Ely | Obstetrics & Gynecology | 111 Avenue F, Bay City, TX 77414-4117 | 2006-04-13 |
| 1972915023 | Olubukola Omobolaji Ayeni | Obstetrics & Gynecology | 111 Avenue F, Bay City, TX 77414-4117 | 2014-05-23 |
| 1053759118 | Melissa Ann Lister | Nurse Practitioner | 111 Avenue F, Bay City, TX 77414-4117 | 2013-06-11 |
| 1003193848 | Matagorda Episcopal Health Outreach Program | Family Medicine | 111 Avenue F, Bay City, TX 77414-4117 | 2011-11-08 |
| 1740348523 | South Texas Medical Clinics, P.a. | General Practice | 111 Avenue F, Bay City, TX 77414-4117 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962040436 | Bay City Pharmacy | Pharmacy | 3217 Avenue F, Bay City, TX 77414 | 2019-12-16 |
| 1013572585 | Amber Robinson | Massage Therapist | 11 Cr 126, 2, Bay City, TX 77414 | 2019-05-09 |
| 1699288076 | Paula Orsak | Dental Hygienist | 205 Ida Ave., Bay City, TX 77414 | 2017-11-08 |
| 1376905844 | Cathy Green | Nurse Practitioner | 600 Hospital Circle, Suite 201, Bay City, TX 77414 | 2016-03-24 |
| 1609277391 | Mary Elizabeth Young | Pharmacist | 2700 7th Street, Bay City, TX 77414 | 2014-09-12 |
| 1194151621 | Tillman Moody Daniel Jr. | General Practice | 2721 Oak Dr., Bay City, TX 77414 | 2013-09-16 |
| 1578863494 | Crayden Dennard, D.d.s. & Ricardo Lucio, D.d.s., Pllc | Dentist | 4040 Ave F, Bay City, TX 77414 | 2010-10-26 |
| 1770818247 | Jennifer Kaye Davis-lewis | Chiropractor | 720 Avenue F, Suite 2, Bay City, TX 77414 | 2009-10-16 |
| 1639321177 | Fondren Orthopedic Group L.l.p. | Orthopaedic Surgery | 720 Avenue F. North, Suite 5, Bay City, TX 77414 | 2008-10-15 |
| 1275684979 | Earl Stanley Brown | Optometrist | 3612 Ave F, Bay City, TX 77414 | 2007-01-16 |
| Find all providers in zip 77414 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 |
|---|---|---|---|---|
| 1730359290 | Sang H Oh M.d. P.C. | Obstetrics & Gynecology | 200 S Wenona St Ste 291, Bay City, MI 48706-8831 | 2008-03-11 |
| 1821052358 | James E. Ely | Obstetrics & Gynecology | 111 Avenue F, Bay City, TX 77414-4117 | 2006-04-13 |
| 1720040413 | Gregory Alexander Pappas | Obstetrics & Gynecology | 1701 Golden Ave, Bay City, TX 77414-3121 | 2006-04-06 |
| 1861453359 | Bradley W Merrills | Obstetrics & Gynecology | 3175 W Professional Drive, Bay City, MI 48706-2823 | 2006-04-01 |
| 1629052006 | Mary A Durbin | Obstetrics & Gynecology | 714 S Trumbull St, Bay City, MI 48708-4217 | 2005-11-30 |
| 1962490722 | Thomas Scott Markus | Obstetrics & Gynecology | 3175 W Professional, Bay City, MI 48706-2823 | 2005-10-06 |
| 1831187608 | William John Vandenbelt | Obstetrics & Gynecology | 3175 W Professional Dr, Bay City, MI 48706 | 2005-10-06 |
| 1972915023 | Olubukola Omobolaji Ayeni | Obstetrics & Gynecology | 111 Avenue F, Bay City, TX 77414-4117 | 2014-05-23 |
| 1578834610 | Marvin Najjar | Obstetrics & Gynecology | 3175 Professional Ct, Bay City, MI 48706-2823 | 2012-01-20 |
| 1194813550 | Ladonna Patrice Rutledge | Obstetrics & Gynecology | 1701 Golden Ave, Bay City, TX 77414-3121 | 2006-10-11 |
| Find all providers in BAY CITY | ||||
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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.