KEITH J HILL (NPI# 1659438778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659438778 |
| Entity Type | Individual |
| Full Name | KEITH J HILL |
| Credential | M.D. |
| Practice Address |
3650 Laurel St Beaumont TX 77707-2216 |
| Practice Telephone | 4098380346 |
| Practice Fax Number | 4098393720 |
| Mailing Telephone | 4098380346 |
| Mailing Fax Number | 4098393720 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2016-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
M8039 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STATE MEDICAL LICENSE | M8039 | 01 |
| TX | 187871201 | 05 | |
| MEDICARE | 8J9356 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457880858 | Keith Hill Sr. | Counselor | 6925 Churchland Street, Pittsburgh, PA 15206 | 2017-06-08 |
| 1427382605 | Keith Howard Hill | Pharmacist | 201 Office Park Dr, 215, Birmingham, AL 35223-2424 | 2009-09-22 |
| 1326324542 | Keith Hill | Kinesiotherapist | 621 Ember Ln, Mansfield, TX 76063-7666 | 2011-11-02 |
| 1417118316 | Keith Daniel Hill | Emergency Medicine | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2008-06-23 |
| 1245437094 | Keith Todd Hill | Physician Assistant | 139 Doctor Henry Norris Dr, Rutherfordton, NC 28139-2838 | 2007-06-27 |
| 1619945292 | Keith Regen Hill | Emergency Medicine | 8 New Middleton Hwy, Suite A, Gordonsville, TN 38563-6603 | 2006-03-09 |
| Street Address |
3650 LAUREL ST |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77707-2216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346224359 | Sezefredo Paulo Depaiva | Orthopaedic Surgery | 3650 Laurel St, Beaumont, TX 77707-2216 | 2005-12-02 |
| 1316561715 | Brittany Paige Ellis | Registered Nurse | 3650 Laurel St, Beaumont, TX 77707-2216 | 2020-06-01 |
| 1952865552 | Katie C Holmes | Registered Nurse | 3650 Laurel St, Beaumont, TX 77707-2216 | 2019-01-28 |
| 1497239891 | Kristen Bradley | Registered Nurse | 3650 Laurel St, Beaumont, TX 77707-2216 | 2018-09-20 |
| 1619454220 | Traci Ann Rizk | Registered Nurse | 3650 Laurel St, Beaumont, TX 77707-2216 | 2018-07-26 |
| 1578076972 | Jason Sikes | Nurse Practitioner | 3650 Laurel St, Beaumont, TX 77707-2216 | 2017-11-08 |
| 1639431661 | Darryl Thomas Blalock | Orthopaedic Surgery | 3650 Laurel St, Beaumont, TX 77707-2216 | 2012-06-14 |
| 1447512843 | Jeffrey Craig Humphrey | Nurse Practitioner | 3650 Laurel St, Beaumont, TX 77707-2216 | 2012-06-12 |
| 1679880785 | Jessica Joanne Bobinger | Specialist/Technologist, Other | 3650 Laurel St, Beaumont, TX 77707-2216 | 2010-09-10 |
| 1972833085 | Audrey Helen Reyenga | Physician Assistant | 3650 Laurel St, Beaumont, TX 77707-2216 | 2010-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437718004 | Kelsey Marie Burt | Speech-Language Pathologist | 87 I-10, Beaumont, TX 77707 | 2019-06-07 |
| 1245898808 | Primary Care Anywhere, Pllc | Nurse Practitioner | 4347 Phelan, Suite 101, Beaumont, TX 77707 | 2019-05-30 |
| 1598321663 | Kacy Keitha Priddy | Occupational Therapist | 1846 I-10 S, Suite 102, Beaumont, TX 77707 | 2019-05-14 |
| 1144791963 | Jeffery Ray Manzer | Counselor | 3350 Dowlen Rd Suite J, Beaumont, TX 77707 | 2018-12-06 |
| 1497247217 | Haley Hebert | Speech-Language Pathologist | 87 I 10 N, Suite 225, Beaumont, TX 77707 | 2018-06-06 |
| 1548712383 | Taylor Miguez | Speech-Language Pathologist | 87 I-10 Frontage Rd #225, Beaumont, TX 77707 | 2016-10-27 |
| 1720534043 | Jacie Woodson | Speech-Language Pathologist | 87 I-10 Frontage Rd. 225, Beaumont, TX 77707 | 2016-08-28 |
| 1285187047 | Paula Boudreaux | Speech-Language Pathologist | 87 I-10 Frontage Rd, Suite 225, Beaumont, TX 77707 | 2016-07-28 |
| 1790138568 | Meagan Alyse Hartwick | Speech-Language Pathologist | 87 I-10 Frontage Rd., 225, Beaumont, TX 77707 | 2016-07-18 |
| 1376992578 | Laurie Lynette Jansky | Family Medicine | 3650 Laurel Ave, Beaumont, TX 77707 | 2016-06-08 |
| Find all providers in zip 77707 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417931239 | Charles Chester Domingues | Orthopaedic Surgery | 3650 Laurel St, Beaumont, TX 77707-2216 | 2005-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730647074 | Nix Physicians Inc. | Orthopaedic Surgery | 110 E Bandera Rd, Boerne, TX 78006-2802 | 2019-03-06 |
| 1598012148 | Douglas Odin Hansen | Orthopaedic Surgery | 6699 Chimney Rock Rd Ste 102, Houston, TX 77081-5339 | 2012-08-13 |
| 1881958940 | Michael James Frazier | Orthopaedic Surgery | 12609 Louetta Rd Ste B, Cypress, TX 77429-5136 | 2012-07-03 |
| 1952344657 | Andrew Marshall Ebert | Orthopaedic Surgery | 4611 Guadalupe St Ste 200, Austin, TX 78751-2928 | 2006-06-13 |
| 1013962810 | Stacy Anne Bacon | Orthopaedic Surgery | 21212 Northwest Fwy Ste 605, Cypress, TX 77429-5889 | 2006-05-23 |
| 1134189178 | Texas Tech University Health Sciences Center El Paso | Orthopaedic Surgery | 4801 Alberta Ave., 230c, El Paso, TX 79905 | 2006-03-24 |
| 1679544308 | William C Mcgarvey | Orthopaedic Surgery | 23920 Katy Freeway, Ste 160, Katy, TX 77494 | 2006-01-31 |
| 1235114927 | Darryl D Cuda | Orthopaedic Surgery | 8800 Village Dr, Suite 101, San Antonio, TX 78217-5412 | 2005-12-14 |
| 1629682919 | Central Texas Orthopaedic Foot and Ankle Center, Pllc | Orthopaedic Surgery | 5100 Franklin Ave, Waco, TX 76710-6922 | 2020-09-03 |
| 1023654258 | Chad M Kennedy Md Pa | Orthopaedic Surgery | 1600 S Coulter St Ste B, Amarillo, TX 79106-0703 | 2019-11-22 |
| Find all providers with the same taxonomy | ||||
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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.