DR. SHAYNE S KEDDY (NPI# 1861465627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861465627 |
| Entity Type | Individual |
| Full Name | DR. SHAYNE S KEDDY |
| Credential | D.O. |
| Practice Address |
24 Southtowne Dr Potosi MO 63664-5729 |
| Mailing Address |
610 Sumpter Dr Farmington MO 63640-7749 |
| Practice Telephone | 5734383737 |
| Mailing Telephone | 5737473365 |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2014-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 2001016005 | MO | Allopathic & Osteopathic Physicians |
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
2001016005 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
24 SOUTHTOWNE DR |
| City | POTOSI |
| State | MO |
| Zip Code | 63664-5729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558741231 | Midwest Health Solutions, LLC | Clinic/Center | 24 Southtowne Dr, Potosi, MO 63664-5729 | 2015-06-08 |
| 1730588674 | Midwest Health Solutions LLC | Clinic/Center | 24 Southtowne Dr, Potosi, MO 63664-5729 | 2014-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083017461 | Carolyn Coyne Maryan | Specialist/Technologist | 400 Mine St., Citadel School, Potosi, MO 63664 | 2014-09-30 |
| 1205073665 | Potosi Chiropractic Life Center | Chiropractor | 502 North Missouri St., Potosi, MO 63664 | 2009-01-07 |
| 1932385952 | Simpelo Medical Clinic, P.C. | Internal Medicine | 108 Frizzell, Suite 6, Potosi, MO 63664 | 2008-01-22 |
| 1760696918 | Brett T Snodgrass | General Practice | 1 Southtowne Dr., Great Mines Health Center, Potosi, MO 63664 | 2007-05-09 |
| 1710032297 | Washington County Handicapped Services Adult Day Health Care | Day Training, Developmentally Disabled Services | 10604 West Highway E, Potosi, MO 63664 | 2007-01-24 |
| 1578629473 | Greenlee Chiropractic Inc. | Chiropractor | Greenlee Chiropractic, 417 East High St, Potosi, MO 63664 | 2006-12-28 |
| 1003981895 | James Daley Robart Jr. | Chiropractor | 912 N Missouri St, Potosi, MO 63664 | 2006-11-21 |
| 1225063407 | Seth Paskon | Internal Medicine | Potosi Medical Clinic, #1 Kwan Plaza, Potosi, MO 63664 | 2006-07-12 |
| 1346295607 | Donna Yates | Nurse Practitioner | 600 Purcell Dr, Suite B, Potosi, MO 63664 | 2006-05-24 |
| 1467424788 | Washington County Memorial Hospital | Clinic/Center | 108 Frizzell Street, Potosi, MO 63664 | 2006-02-02 |
| Find all providers in zip 63664 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902113178 | Northland Integrated Medical, Inc | Pain Medicine | 5563 Nw Barry Rd, Kansas City, MO 64154-1408 | 2010-09-08 |
| 1669484119 | Olympic Rehab Wellness and Pain Center PC | Pain Medicine | 5000 Cedar Plaza Pkwy Ste 230, Saint Louis, MO 63128-3859 | 2006-08-13 |
| 1316972466 | Berland Imaging Inc | Pain Medicine | 763 S New Ballas Road, Suite 230, St Louis, MO 63141 | 2006-07-11 |
| 1316982333 | Bradford R Noble | Pain Medicine | 811 N Keene St, Columbia, MO 65201-6634 | 2006-06-17 |
| 1568431013 | Suzanne E. Alt, D.o., LLC | Pain Medicine | 2605 N Baltimore St, Kirksville, MO 63501-5116 | 2006-03-16 |
| 1144211384 | Anesthesia Associates of Kc, PC, Dba Pain Management Associates | Pain Medicine | 200 Ne Missouri Rd, Suite 103, Lees Summit, MO 64086-4722 | 2005-11-04 |
| 1467443614 | Anesthesia Associates of Kansas City PC | Pain Medicine | 4911 Arrowhead Drive, Suite 300, Independence, MO 64055-7018 | 2005-11-04 |
| 1588100390 | Lester E Cox Medical Centers | Pain Medicine | 1001 E Primrose St, Suite 2 West, Springfield, MO 65807-5155 | 2017-01-18 |
| 1558719617 | Midwest Anesthesia Associates, P.C. | Pain Medicine | 11155 Dunn Rd, Suite 204n, Saint Louis, MO 63136-6150 | 2016-05-31 |
| 1285004598 | Ssm Medical Group Inc. | Pain Medicine | 12255 Depaul Drive, Suite 120, Bridgeton, MO 63044 | 2015-09-29 |
| 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.