STEPHEN MICHAEL KEEN (NPI# 1619946829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619946829 |
| Entity Type | Individual |
| Full Name | STEPHEN MICHAEL KEEN |
| Other Name | S. MICHAEL KEEN |
| Credential | MD |
| Practice Address |
22 Shipwash Dr Garner NC 27529-6861 |
| Mailing Address |
200 Corporate Blvd Lafayette LA 70508-3870 |
| Practice Telephone | 9196627600 |
| Practice Fax Number | 9196627675 |
| Mailing Telephone | 8008939698 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2020-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 29988 | WV | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 29988 | WV | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 201100283 | NC | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MD417324 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HIGHMARK | 000920061 | 01 | |
| UPMC | 219865 | 01 | |
| PA | 0018198700002 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407175425 | Stephen Keen | Family Medicine | 145 City Pl Ste 101, Palm Coast, FL 32164-2480 | 2010-06-01 |
| 1669797049 | Stephen D Keen | Physician Assistant | 8091 Rivers Ave, North Charleston, SC 29406-9236 | 2010-03-29 |
| Street Address |
22 SHIPWASH DR |
| City | GARNER |
| State | NC |
| Zip Code | 27529-6861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518967405 | Janet Wilder Bowen | Family Medicine | 22 Shipwash Dr, Garner, NC 27529-6861 | 2005-07-21 |
| 1558986398 | Jamie Hisae Bledsoe | Nurse Practitioner | 22 Shipwash Dr, Garner, NC 27529-6861 | 2020-06-08 |
| 1063998318 | Nicole Leigh Smith | Nurse Practitioner | 22 Shipwash Dr, Garner, NC 27529-6861 | 2018-07-18 |
| 1811226871 | Cleveland Family Health, Pa | Clinic/Center | 22 Shipwash Dr, Garner, NC 27529-6861 | 2009-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578112579 | Ascend Rehab Therapy | Speech-Language Pathologist | 45 Waterpine Drive, Garner, NC 27529 | 2019-09-11 |
| 1760039937 | Direct Realistic Counseling Sevices | Counselor | 503 Highway 70, Suite R, Garner, NC 27529 | 2019-08-22 |
| 1285281402 | Direct Solutions Counseling Services | Counselor | 503 R Highway 70, Garner, NC 27529 | 2019-08-22 |
| 1821551920 | Rex Hospital Inc | Emergency Medicine | 1165 Us Hwy 70 W, Garner, NC 27529 | 2019-04-08 |
| 1154888485 | First Step Services, LLC | Social Worker | 1418 Aversboro Road, Suite 201, Garner, NC 27529 | 2019-02-22 |
| 1528533387 | Pratibha Verma | Physical Therapist | 200 Bellarose Nursing and Rehab, Garner, NC 27529 | 2018-10-09 |
| 1073037271 | Kim Robert Rogers | Marriage & Family Therapist | 1140 Holly Springs Road #207, Holly Springs, NC 27529 | 2017-07-29 |
| 1790214062 | Diversified Services of Nc LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 255 Adams Point Dr, Garner, NC 27529 | 2017-06-08 |
| 1972049369 | Michelle Stephens | Case Manager/Care Coordinator | 7017 Scarlett Ln, Garner, NC 27529 | 2017-01-10 |
| 1962854877 | Brittany H Mccrann | Social Worker | 310 New Fidelity Ct, Garner, NC 27529 | 2016-07-05 |
| Find all providers in zip 27529 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295021392 | Renee Diamond | Family Medicine | 840 W Us Highway 18, Garner, IA 50438-1023 | 2011-06-27 |
| 1093971038 | Erin Bennek Reis | Family Medicine | 811 Us 70 Hwy W, Garner, NC 27529-2541 | 2008-07-30 |
| 1578616132 | Stephenie Vandermeer Brinson | Family Medicine | 876 Timber Dr, Garner, NC 27529-4850 | 2007-01-18 |
| 1295800381 | Gonzalo Andres Fernandez | Family Medicine | 112 Donmoor Ct, Garner, NC 27529-2500 | 2006-11-22 |
| 1427164896 | Connie J Arispe | Family Medicine | 730 W 3rd St, Garner, IA 50438-1242 | 2006-08-21 |
| 1275595407 | Jason Daniel Jones | Family Medicine | 801 Poole Drive, Garner, NC 27529 | 2006-04-04 |
| 1518967405 | Janet Wilder Bowen | Family Medicine | 22 Shipwash Dr, Garner, NC 27529-6861 | 2005-07-21 |
| 1427580505 | Alison Michelle Flanagan-singletary | Family Medicine | 801 Poole Dr, Garner, NC 27529-5207 | 2017-03-29 |
| 1649637174 | Melissa Ernst | Family Medicine | 5156 Nc Highway 42 W, Garner, NC 27529-8417 | 2016-01-28 |
| 1992192694 | Unc Physicians Network Group Practices, LLC | Family Medicine | 801 Poole Dr, Garner, NC 27529-5207 | 2015-04-20 |
| Find all providers in GARNER | ||||
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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.