WILLARD L KEITH (NPI# 1669534194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669534194 |
| Entity Type | Individual |
| Full Name | WILLARD L KEITH |
| Credential | MD |
| Practice Address |
1010 Medical Center Dr Powderly KY 42367-5463 |
| Practice Telephone | 2703771600 |
| Practice Fax Number | 2703380229 |
| Mailing Telephone | 2703771600 |
| Mailing Fax Number | 2703380229 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2014-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 17945 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64010416 | 05 |
| Street Address |
1010 MEDICAL CENTER DR |
| City | POWDERLY |
| State | KY |
| Zip Code | 42367-5463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881695815 | Eric L Bandy | Internal Medicine | 1010 Medical Center Dr, Powderly, KY 42367-5463 | 2005-08-01 |
| 1306327168 | Brittany Nicole Grega | Physician Assistant | 1010 Medical Center Dr, Powderly, KY 42367-5463 | 2018-08-28 |
| 1477048684 | Baptist Health Medical Group Inc | Clinic/Center | 1010 Medical Center Dr, Powderly, KY 42367-5463 | 2018-06-29 |
| 1477076487 | Brandi E Kost | Nurse Practitioner | 1010 Medical Center Dr, Powderly, KY 42367-5463 | 2017-07-21 |
| 1639620859 | Timothy I Durbin | Nurse Practitioner | 1010 Medical Center Dr, Powderly, KY 42367-5463 | 2016-10-24 |
| 1689124141 | Crystal Lynn Ward | Nurse Practitioner | 1010 Medical Center Dr, Powderly, KY 42367 | 2016-10-09 |
| 1639534241 | Jessica Leigh Anderson-brown | Nurse Practitioner | 1010 Medical Center Dr, Powderly, KY 42367-5463 | 2015-12-24 |
| 1154728079 | Brittany Blue | Physical Therapist | 1010 Medical Center Dr, Powderly, KY 42367-5463 | 2014-11-20 |
| 1235553991 | Sandi Walker | Physical Therapist | 1010 Medical Center Dr, Powderly, KY 42367-5463 | 2014-02-14 |
| 1881037323 | Jane Hope Reed | Nurse Practitioner | 1010 Medical Center Dr, Powderly, KY 42367-5463 | 2013-04-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487824553 | Stephen Wood, Od | Optometrist | 609 W Main, Powderly, KY 42367 | 2008-03-05 |
| 1124029160 | Brian Wayne Chaney | Internal Medicine | 1010 Medical Center Drive, Powderly, KY 42367 | 2005-08-01 |
| 1518959923 | Cheri Lynn Fogle | Nurse Practitioner | 1010 Medical Center Drive, Powderly, KY 42367 | 2005-08-22 |
| 1023019130 | Ms Community Health LLC | General Practice | 1010 Medical Center Drive, Powderly, KY 42367 | 2005-08-10 |
| 1841291390 | Gary D Givens | General Practice | 1010 Medical Center Drive, Powderly, KY 42367 | 2005-08-09 |
| 1073514030 | Kristy G Chappell | Family Medicine | 1010 Medical Center Drive, Powderly, KY 42367 | 2005-08-02 |
| 1952453813 | George Stephen Wood | Optometrist | 609 West Main St, Powderly, KY 42367-0100 | 2007-01-18 |
| 1700194388 | Oh Muhlenberg, LLC | Clinic/Center | 2025 W Everly Brothers Blvd Ste 2a, Powderly, KY 42367-5401 | 2010-09-17 |
| 1144281791 | Mark A. Tackett | Family Medicine | 2025 W Everly Brothers Blvd, Powderly, KY 42367-5401 | 2006-03-31 |
| 1144228040 | Terry Lynn Mcpherson | Physician Assistant | 2025 W Everly Brothers Blvd Ste 1a, Powderly, KY 42367-5401 | 2005-07-13 |
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| 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 |
|---|---|---|---|---|
| 1720620768 | Rachel L Arnold | Emergency Medicine | 702 N Maple Ave, Danville, KY 40422-1147 | 2019-10-10 |
| 1154976405 | Larry Dale Melton | Emergency Medicine | 7712 Cambridge Ct, Crestwood, KY 40014-8932 | 2019-08-05 |
| 1811484264 | Bellefonte Physician Services, Inc. | Emergency Medicine | 1816 Carter Ave Ste 2, Ashland, KY 41101-7643 | 2018-04-20 |
| 1093210338 | Emily Marsh | Emergency Medicine | 50 Woodson Way, Glasgow, KY 42141-3245 | 2018-03-28 |
| 1215464839 | Robert A Hudepohl | Emergency Medicine | 2487 Legends Way, Crestview Hills, KY 41017-3480 | 2017-05-12 |
| 1851822696 | Jonathan Walrath | Emergency Medicine | 48 Achates Dr, Florence, KY 41042-9753 | 2017-03-23 |
| 1194187179 | Russell Paul Landry IIi | Emergency Medicine | 1303 Us Hwy 127 S Ste 402, 367, Frankfort, KY 40601 | 2016-03-28 |
| 1083076145 | Slade Thompson | Emergency Medicine | 800 Rose St University of Kentucky, Lexington, KY 40536-7001 | 2016-03-27 |
| 1285096834 | Michael Gleason | Emergency Medicine | 859.323 5083, 800 Rose St M-53, Lexington, KY 40536-0298 | 2016-03-23 |
| 1538543087 | David Sindler | Emergency Medicine | 3615 E John Rowan Blvd Ste 104, Bardstown, KY 40004-3264 | 2015-07-15 |
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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.