PATRICK C KEENAN (NPI# 1649839861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649839861 |
| Entity Type | Individual |
| Full Name | PATRICK C KEENAN |
| Credential | NP |
| Practice Address |
2211 Genesee St Ste 200 Utica NY 13501-5930 |
| Practice Telephone | 3157337598 |
| Practice Fax Number | 3157337694 |
| Mailing Telephone | 3157337598 |
| Mailing Fax Number | 3157337694 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 637878-1 | NY | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
344998 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053746784 | Patrick Keenan | Counselor | 115 Main St Ste 10, Seymour, CT 06483-3138 | 2013-09-12 |
| 1679545669 | Patrick Keenan | Obstetrics & Gynecology | 147 Allen St, Rutland, VT 05701-4555 | 2006-02-03 |
| 1003442831 | Patrick Keenan | Physician Assistant | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-03-12 |
| 1730547647 | Patrick Keenan | Physical Therapist | 5005 N Piedras St, El Paso, TX 79920-5002 | 2016-02-05 |
| 1972692895 | Patrick A Keenan | Family Medicine | 1020 West Broadway, Minneapolis, MN 55411 | 2006-10-11 |
| Street Address |
2211 GENESEE ST STE 200 |
| City | UTICA |
| State | NY |
| Zip Code | 13501-5930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497277537 | Adam Paul Fenton | Physician Assistant | 2211 Genesee St Ste 200, Utica, NY 13501-5930 | 2017-07-11 |
| 1043784895 | Saba Ilyas | Physician Assistant | 2211 Genesee St Ste 200, Utica, NY 13501 | 2019-01-15 |
| 1992211411 | Erin Wellenstein Smith | Physician Assistant | 2211 Genesee St Ste 200, Utica, NY 13501-5930 | 2017-12-20 |
| 1043737141 | Barbara Jean Drake | Nurse Practitioner | 2211 Genesee St Ste 200, Utica, NY 13501-5930 | 2017-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700349248 | Maria Kuehl | Student in an Organized Health Care Education/Training Program | 120 Hobart Street, Residency Program, Utica, NY 13501 | 2019-04-11 |
| 1497237622 | Bobs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 430 Bleecker St, Utica, NY 13501 | 2018-09-04 |
| 1528565421 | Michele Della Gala | Social Worker | 1427 Genesee Street, Utica, NY 13501 | 2018-04-09 |
| 1295274884 | Sheila Denita Boyd | Licensed Practical Nurse | 505 Mary Street, Utica, NY 13501 | 2017-02-16 |
| 1770034993 | Curry Mcmahon | Massage Therapist | 2707 Genesee St, Utica, NY 13501 | 2016-10-24 |
| 1689123614 | Angelica Pascone Martin | Physician Assistant | 2215 Genesee St., Utica, NY 13501 | 2016-10-03 |
| 1942673942 | Krista Lee Klopotek | Registered Nurse | 1151 Albany Street, Albany Elementary School, Utica, NY 13501 | 2015-11-12 |
| 1841618089 | Katherine Macaulay Lucey | Social Worker | 293 Genesee Street, The Neighborhood Center, Inc. Human Resources, Utica, NY 13501 | 2014-04-04 |
| 1578809067 | Laurie A Baker | Social Worker | 2307 Genesee St, Utica, NY 13501 | 2013-01-02 |
| 1104170505 | Amanda Knoeller | Social Worker | 683 Mary Street, Utica, NY 13501 | 2012-11-07 |
| Find all providers in zip 13501 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124689963 | Samantha Jo Prendergast | Nurse Practitioner | 1656 Champlin Ave Ste 406, Utica, NY 13502-4830 | 2019-06-24 |
| 1245717818 | Jaime Michelle Blum | Nurse Practitioner | 2206 Genesee St Ste 101, Utica, NY 13502-5829 | 2018-07-25 |
| 1104311844 | Daniel Vincent Mcelroy | Nurse Practitioner | 1508 Genesee St Ste 1, Utica, NY 13502-5178 | 2018-06-26 |
| 1639695893 | Amanda Baker | Nurse Practitioner | 1676 Sunset Ave # 4, Utica, NY 13502-5416 | 2017-08-19 |
| 1952754699 | Korinne M Smith | Nurse Practitioner | 117 Ardmore Pl, Utica, NY 13501-6301 | 2016-07-18 |
| 1568876464 | Kristen M. Deep | Nurse Practitioner | 525 French Rd, Utica, NY 13502-5945 | 2014-06-18 |
| 1609031277 | Louise Ann Dean-kelly | Nurse Practitioner | 12 N Horatio Street, Sunyit Health and Wellness Center, Utica, NY 13504-3050 | 2008-07-23 |
| 1962617159 | Laura Diane Carnevale | Nurse Practitioner | 1450 Champlain Ave, Utica, NY 13502-1350 | 2007-05-11 |
| 1992874077 | Lori Rae Bjornson | Nurse Practitioner | 11111 Hall Road, Suite 105, Utica, MI 48317 | 2006-11-06 |
| 1689767790 | Kathleen Ann Tanney | Nurse Practitioner | 230 N Genesee St, Utica, NY 13502-2529 | 2006-10-02 |
| Find all providers in UTICA | ||||
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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.