LUCAS A.G. KEITH (NPI# 1639490550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639490550 |
| Entity Type | Individual |
| Full Name | LUCAS A.G. KEITH |
| Credential | MD |
| Practice Address |
3669 Countryside Ln Marion NY 14505 |
| Mailing Address |
3669 Countryside Ln Marion NY 14505-9781 |
| Practice Telephone | 3159267733 |
| Practice Fax Number | 3159260731 |
| Mailing Telephone | 3159267733 |
| Mailing Fax Number | 3159260731 |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2018-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 292399 | NY | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 54151 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | ENROLLED | 05 |
| Street Address |
3669 COUNTRYSIDE LN |
| City | MARION |
| State | NY |
| Zip Code | 14505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184640138 | David Thomas Hannan | Family Medicine | 3669 Countryside Ln, Marion, NY 14505-9781 | 2006-07-14 |
| 1497133342 | Theresa Martin | Family Medicine | 3669 Countryside Ln, Marion, NY 14505 | 2015-05-12 |
| 1760802706 | Arcadia Family Practice | Nurse Practitioner | 3669 Countryside Ln, Marion, NY 14505-9781 | 2014-04-17 |
| 1972923902 | Eliza Weis | Nurse Practitioner | 3669 Countryside Ln, Marion, NY 14505-9781 | 2014-04-17 |
| 1255491387 | Arcadia Family Practice, P.C. | Family Medicine | 3669 Countryside Ln, Marion, NY 14505-9781 | 2006-12-11 |
| 1710086442 | Melissa Pullin I | Nurse Practitioner | 3669 Countryside Ln, Marion, NY 14505-9781 | 2006-09-21 |
| 1467466268 | Laura Ann Moore | Family Medicine | 3669 Countryside Ln, Marion, NY 14505-9781 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235656919 | Jordan Smith | Licensed Practical Nurse | 3957 Dean Rd, Marion, NY 14505 | 2017-08-24 |
| 1205382926 | Laurie M Savory | Registered Nurse | 4599 Witherden Rd, Marion, NY 14505 | 2016-09-01 |
| 1801267455 | Jaime Campbell | Speech-Language Pathologist | 4610 Smith Rd, Marion, NY 14505 | 2015-10-08 |
| 1477820876 | Trena Fisher | Registered Nurse | 4034 Warner Road, Marion, NY 14505 | 2011-11-30 |
| 1437147717 | Marion Pharmacy, Inc. | Pharmacy | 3803 South Main St., Marion, NY 14505 | 2005-10-11 |
| 1497033658 | David Farley Scoville | Veterinarian | 4073 Warner Road, Marion, NY 14505 | 2011-07-21 |
| 1467577627 | Paul Edward Johnson | Pharmacist | 3803 South Main St, Marion, NY 14505-0047 | 2007-03-20 |
| 1073060877 | Kristin Renee Forte | Dental Hygienist | 4545 Williamson Rd, Marion, NY 14505-9302 | 2016-09-08 |
| 1083855365 | Michael Alan Pealo | Licensed Practical Nurse | 4519 Williamson Rd, Marion, NY 14505-9302 | 2009-03-16 |
| 1639440043 | Catherine Colunio | Licensed Practical Nurse | 4573 Daniel Dr, Marion, NY 14505-9303 | 2012-01-17 |
| Find all providers in zip 14505 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1194088427 | Bei Wang | Internal Medicine | 2703 Prestwick Way, Marion, IL 62959 | 2012-06-21 |
| 1063704765 | Blue Ridge Medical Management Corporation | Internal Medicine | 1118 Snider St, Marion, VA 24354-4216 | 2011-05-12 |
| 1194958249 | Crittenden Hospital Association | Internal Medicine | 310 Judge Smith Dr, Marion, AR 72364-2220 | 2009-08-24 |
| 1033340179 | Michael P Lawler Md S Corp | Internal Medicine | 1129 N Carbon St Ste 3, Marion, IL 62959-1068 | 2009-08-06 |
| 1518146471 | Tarlok S Purewal M D Inc | Internal Medicine | 1130 Independence Ave, Marion, OH 43302-6375 | 2007-10-29 |
| 1689873119 | Access Medical Group, LLC | Internal Medicine | 1135 Lake Blvd Apt 3, Marion, OH 43302-6685 | 2007-07-14 |
| 1972659928 | Pb Singh Md Inc | Internal Medicine | 1199 Delaware Ave Ste 102, Marion, OH 43302-7462 | 2007-01-25 |
| 1841385127 | Harshvardhan Poseria | Internal Medicine | 1672 Union Park Dr, Marion, OH 43302-6584 | 2006-10-04 |
| 1891895876 | Florian John Ragaz | Internal Medicine | 231 East Court Street, Marion, NC 28752 | 2006-09-22 |
| 1376658948 | Khozema Rajkotwala Md Inc | Internal Medicine | 990 South Prospect Street, Suite 2, Marion, OH 43302 | 2006-08-21 |
| Find all providers in MARION | ||||
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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.