KEYSTONE EMERGENCY PHYSICIANS PLLC (NPI# 1639538135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639538135 |
| Entity Type | Organization |
| Organization Name | KEYSTONE EMERGENCY PHYSICIANS PLLC |
| Practice Address |
15425 N Greenway Hayden Loop Ste A300 Scottsdale AZ 85260-1204 |
| Mailing Address |
Po Box 98802 Las Vegas NV 89193-8802 |
| Practice Telephone | 4694012386 |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |
| Authorized Official Name | DONALD GODBOLD, M.D. (OFFICER) |
| Authorized Official Telephone | 4694012386 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538528039 | Keystone Emergency Physicians Pllc | Physician Assistant | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2016-02-12 |
| Street Address |
15425 N GREENWAY HAYDEN LOOP STE A300 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85260-1204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932106192 | Janine Sutter | Nurse Practitioner | 15425 N Greenway Hayden Loop Ste A300, Scottsdale, AZ 85260 | 2005-07-02 |
| 1689900276 | Thomas Joel Sirrine | Physician Assistant | 15425 N Greenway Hayden Loop Ste A300, Scottsdale, AZ 85260-1204 | 2009-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153377 | Karen Lee Williams | Counselor | 7655 Eest Redfield Rd, Suite 4, Scottsdale, AZ 85260 | 2020-10-29 |
| 1477188001 | Dr. Lynne Remson, Stuttering Specialist, LLC | Clinic/Center | 7950 E. Acoma Dr., Ste 201, Scottsdale, AZ 85260 | 2020-03-04 |
| 1861049967 | Aca Wellness Institute | Registered Nurse | 10752 N. 89th Pl, 8, Ste 203, Scottsdale, AZ 85260 | 2019-08-22 |
| 1811542814 | Haven Home Physicians LLC | Internal Medicine | 15551 N Greenway-hayden Loop, Suite 155, Scottsdale, AZ 85260 | 2019-08-06 |
| 1700431079 | Corey Allen Niles | Physical Therapist | 16413 N 91st Street #c145, Scottsdale, AZ 85260 | 2019-08-05 |
| 1578126470 | Scottsdale Pediatric Dental Associates Inc | Dentist | 9280 E Raintree, Suite 108, Scottsdale, AZ 85260 | 2019-04-16 |
| 1548747645 | Oliver Canizales Renteria | Behavior Technician | 8310 East Cactus Road, Suite # 510, Scottsdale, AZ 85260 | 2018-07-23 |
| 1518454792 | Silent Night Sleep Center Lllp | Durable Medical Equipment & Medical Supplies | 9070 E Desert Cove Ave Ste 105, Scottsdale, AZ 85260 | 2018-04-13 |
| 1669976726 | Steincare Mobile Outpatient, LLC | Occupational Therapist | 9555 E. Raintree Drive, #2057, Scottsdale, AZ 85260 | 2018-03-22 |
| 1437658416 | Megan Anne Deffenbaugh | Behavior Technician | 8130 E Cactus Rd Suite 150, Scottsdale, AZ 85260 | 2018-02-06 |
| Find all providers in zip 85260 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457719569 | Private Client Physician Services, LLC | Emergency Medicine | 5851 E Blue Sky Dr, Scottsdale, AZ 85266-6712 | 2016-02-03 |
| 1154748283 | Babette Witkind Koenig | Emergency Medicine | Empower Emergency Physicians, 7332 East Butherus Drive, Scottsdale, AZ 85260 | 2014-03-26 |
| 1710250030 | Kevin M Mckeown | Emergency Medicine | 8265 E Del Cadena Dr, Scottsdale, AZ 85258-2326 | 2012-02-16 |
| 1063669158 | Joshua Lewis | Emergency Medicine | 8818 E Dahlia Dr, Scottsdale, AZ 85260-8439 | 2008-08-20 |
| 1275713703 | Chad Seymour Lewis | Emergency Medicine | 18524 N 94th St, Scottsdale, AZ 85255-2493 | 2007-11-13 |
| 1710170246 | Anne Kay Chung | Emergency Medicine | 7332 E Butherus Dr Ste 104, Scottsdale, AZ 85260-2426 | 2007-08-17 |
| 1275757841 | Amy Ramesh Patel | Emergency Medicine | 8997 E Desert Cove Ave Fl 1, Scottsdale, AZ 85260-6742 | 2007-04-12 |
| 1407890601 | Kevin W. Hubbard | Emergency Medicine | 11434 E Mission Ln, Scottsdale, AZ 85259-5821 | 2006-06-16 |
| 1659338887 | Jack Anderson | Emergency Medicine | 9787 N 91st St Ste 101, Scottsdale, AZ 85258-5088 | 2006-05-01 |
| 1235111600 | Kenneth Barry Fleisch | Emergency Medicine | 5635 N Scottsdale Rd Ste 170, Scottsdale, AZ 85250-5945 | 2005-11-18 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85260 |
Please comment or provide details below to improve the information on KEYSTONE EMERGENCY PHYSICIANS PLLC.
| 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.