GARY KEOGH, MD, LLC


Address: 3715 Highway 280 431 N, Phenix City, AL 36867
Phone: 2516337211

GARY KEOGH, MD, LLC (NPI# 1730372350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730372350
Entity Type Organization
Organization Name GARY KEOGH, MD, LLC
Practice Address 3715 Highway 280 431 N
Phenix City
AL 36867
Mailing Address P.o. Box 7627
Mobile
AL 36670-0627
Practice Telephone 2516337211
Practice Fax Number 2514106079
Mailing Telephone 2516337211
Mailing Fax Number 2514106079
Enumeration Date 2007-08-27
Last Update Date 2019-10-09
Authorized Official Name DR. GARY JOHN KEOGH (OWNER)
Authorized Official Telephone 2516337211
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
MD24656 AL Allopathic & Osteopathic Physicians

Office Location

Street Address 3715 HIGHWAY 280 431 N
City PHENIX CITY
State AL
Zip Code 36867

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316576986 Victoria Martinec Dental Hygienist 3732 Us Hwy 280, Phenix City, AL 36867 2020-04-06
1255993390 Alexa Paige Jones Family Medicine 3700 Ste A S Railroad St, Phenix City, AL 36867 2019-06-28
1548755150 David Thompson Student in an Organized Health Care Education/Training Program 4401 Riverchase Dr., Phenix City, AL 36867 2018-06-26
1134613714 Sarah Uehara Yee Dentist 3732 Hwy 280 Bypass, Phenix City, AL 36867 2018-06-18
1770074676 James L Pridgen IIi Registered Nurse 1533 Summerplace Dr, Phenix City, AL 36867 2018-05-25
1598288219 Rachelle Moliere Nurse Practitioner 4402 Riverchase Drive, #4301, Phenix City, AL 36867 2017-07-25
1417477852 Devin William Collins Orthopaedic Surgery 4401 River Chase Drive, Phenix City, AL 36867 2017-06-27
1770003774 Tabatha Yvette Jones Registered Nurse 506 Lee Rd 554, Phenix City, AL 36867 2017-06-21
1134659030 Jack Clifford Golden Jr. Pharmacist 3700 Us Hwy 280/431n, Phenix City, AL 36867 2017-06-14
1386098440 Mudassar Khan Orthopaedic Surgery 4401 Riverchase Dr, Phenix City, AL 36867 2016-04-14
Find all providers in zip 36867

Taxonomy Information

Taxonomy Code 2081P2900X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Pain Medicine

Taxonomy Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790779577 Gary J Keogh Physical Medicine & Rehabilitation 3715 Highway 280-431 North, Phenix City, AL 36867 2005-09-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1861965568 Gulf Coast Pain Consultants Pllc Physical Medicine & Rehabilitation 135 Medical Park Dr Ste 2b, Andalusia, AL 36420-5352 2019-01-04
1568835445 Kopp Medical LLC Physical Medicine & Rehabilitation 820 S. University Blvd Bldg 1 Ste 1b, Mobile, AL 36609-7859 2015-11-02
1710240791 Jordan Garman Physical Medicine & Rehabilitation Jt 941, 619 19th St South Attention: Dr Jordan Garman, Birmingham, AL 35249-5656 2012-06-24
1063719425 Mobility Metabolism & Wellness, P.C. Physical Medicine & Rehabilitation 4357 Midmost Dr, Mobile, AL 36609-5505 2011-02-22
1770893943 Center for Physical Medicine & Pain Management Physical Medicine & Rehabilitation 2227 Taylor Rd, Montgomery, AL 36117-3439 2010-10-20
1528180403 Mark Awoniyi Physical Medicine & Rehabilitation 2046 Beltline Rd Sw, Decatur, AL 35601-5549 2007-04-04
1891743654 Shelinder Aggarwal Physical Medicine & Rehabilitation 808b Turner St Sw, Huntsville, AL 35801-5115 2006-05-04
1780656959 Rachelle B Janush Physical Medicine & Rehabilitation 350 Taylor Rd, Suite #2500, Montgomery, AL 36117-3571 2006-02-02
1699268672 Wellnessconnect Healthcare and Preventive Medicine, LLC Physical Medicine & Rehabilitation 2011 Gallatin St Sw, Huntsville, AL 35801-4510 2018-06-13
1952783748 Gulf Coast Interventional Spine & Joint Specialists LLC Physical Medicine & Rehabilitation 1557 Spring Hill Ave, Mobile, AL 36604-3218 2015-06-29
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Competitor

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City PHENIX CITY
Zip Code 36867

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Dataset Information

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.

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