MR. MICHAEL KEITH KEENE II (NPI# 1760523112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760523112 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL KEITH KEENE II |
| Credential | LICENSED ORTHOTIST, |
| Practice Address |
336 Loney St Phila PA 19111-2236 |
| Mailing Address |
6367 Woodbine Ave Philadelphia PA 19151-2523 |
| Practice Telephone | 2157220751 |
| Mailing Telephone | 6107243561 |
| Mailing Fax Number | 2157220752 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2014-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 45OR00006900 | NJ | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194932384 | Michael K Keene Sr. | Marriage & Family Therapist | 102 Hertiage Valley Road, Suite C, Sewell, NJ 08080 | 2007-05-17 |
| 1629520929 | Michael Hale Keene | Nurse Practitioner | 4760 Woodmere Blvd, Montgomery, AL 36106-3065 | 2016-11-03 |
| 1376518134 | Michael Graham Keene | Physician Assistant | 800 Springfield Commons Dr, Suite 115, Raleigh, NC 27609-8533 | 2006-02-22 |
| Street Address |
336 LONEY ST |
| City | PHILA |
| State | PA |
| Zip Code | 19111-2236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841298650 | Titleman Orthopedic | Specialist | 336 Loney St, Phila, PA 19111-2236 | 2005-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036026 | Grace Agency Incorporated | Home Health | 433 Longshore Ave, Philadelphia, PA 19111 | 2020-09-08 |
| 1124517750 | Dana Christine Campetti | Physician Assistant | 700 Cottman Ave Ste 201, Philadelphia, PA 19111 | 2018-05-09 |
| 1235654286 | Dorotea Mutabdzic | Surgery | Fox Chase Cancer Center, 333 Cottman Ave, Dept of Surgical Oncology, Philadelphia, PA 19111 | 2017-08-11 |
| 1952841041 | Personal Care Home C&g | Point of Service | 6176 Newtown Ave, Philadelphia, PA 19111 | 2017-03-08 |
| 1477006849 | Fox Chase Cancer Center | Clinic/Center | 333 Cottman Ave., Philadelphia, PA 19111 | 2016-08-02 |
| 1578927521 | Peter Whooley | Student in an Organized Health Care Education/Training Program | Temple University/fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111 | 2016-04-06 |
| 1043673783 | Matthew Holzerman | Physical Therapy Assistant | 1148 Tabor Plz, Philadelphia, PA 19111 | 2016-03-31 |
| 1831563329 | Aging With Care Inc | Home Health | 1614 Loney St, Philadelphia, PA 19111 | 2015-11-20 |
| 1043687551 | Kenneth Marsaglia II | Preventive Medicine | 8414 Bridle Road, Philadelphia, PA 19111 | 2015-09-01 |
| 1700220514 | Lorraine A Tauriello | Counselor | 716 Ripley St, Philadelphia, PA 19111 | 2013-04-23 |
| Find all providers in zip 19111 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285036814 | Faye Barychewsky | Specialist | 10001 Westbourne Pl, Phila, PA 19114-1522 | 2014-09-26 |
| 1922053396 | Emil P Sfedu | Specialist | 716 N 24th St, Phila, PA 19130-2535 | 2006-05-24 |
| 1700863529 | Richard C Harkaway | Specialist | 9880 Bustleton Ave, Suite 311, Phila, PA 19115-2185 | 2005-12-22 |
| 1538160288 | Joseph William Grugan | Specialist | 9379 Krewstown Rd, Excel Physical Therapy, Phila, PA 19115-3710 | 2005-08-03 |
| 1275533697 | Guy J Carnabuci | Specialist | 1612 S Broad St, Phila, PA 19145-1509 | 2005-07-28 |
| 1841298650 | Titleman Orthopedic | Specialist | 336 Loney St, Phila, PA 19111-2236 | 2005-07-14 |
| 1346497724 | Debra A. Kaplan | Specialist | 125 W School House Ln, Phila, PA 19144-3348 | 2008-08-27 |
| 1104950831 | Wm. J. Dennis Md | Specialist | 3823 J St, Phila, PA 19124-5405 | 2007-03-15 |
| 1770641581 | Michael Lieb | Specialist | 2000 Grant Ave, Suite 102, Phila, PA 19115-4378 | 2006-12-05 |
| 1730257247 | Brian Patrick Womelsdorf | Specialist | 7604 Central Ave, Phila, PA 19111-2433 | 2006-12-01 |
| Find all providers in PHILA | ||||
Please comment or provide details below to improve the information on MR. MICHAEL KEITH KEENE II.
| 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.