KEITH HARDEN (NPI# 1871662932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871662932 |
| Entity Type | Individual |
| Full Name | KEITH HARDEN |
| Credential | M.D. |
| Practice Address |
1676 Sunset Ave Urgent Care Department Utica NY 13502-5416 |
| Mailing Address |
2209 Genesee St Business Office Utica NY 13501-5930 |
| Practice Telephone | 3156245226 |
| Practice Fax Number | 3156245279 |
| Mailing Telephone | 3158013282 |
| Mailing Fax Number | 3158018391 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2017-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 228183 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1676 SUNSET AVE URGENT CARE DEPARTMENT |
| City | UTICA |
| State | NY |
| Zip Code | 13502-5416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144221367 | Tamim J Khaliqi | Anesthesiology | 1676 Sunset Ave, Utica, NY 13502-5416 | 2005-08-10 |
| 1437797503 | Jody Lynn Henry | Occupational Therapist | 1676 Sunset Ave, Utica, NY 13502-5416 | 2019-12-19 |
| 1083252423 | Dominic Caccioppoli | Occupational Therapist | 1676 Sunset Ave, Utica, NY 13502-5416 | 2019-12-17 |
| 1962040519 | Michelle Jordan | Physical Therapy Assistant | 1676 Sunset Ave, Utica, NY 13502-5416 | 2019-12-13 |
| 1215575014 | Lillian Zambri | Occupational Therapist | 1676 Sunset Ave, Utica, NY 13502-5416 | 2019-12-12 |
| 1104464817 | Lindsey Zustovich | Physical Therapist | 1676 Sunset Ave, Utica, NY 13502-5416 | 2019-12-12 |
| 1619515426 | Megan Krol | Physical Therapist | 1676 Sunset Ave, Utica, NY 13502-5416 | 2019-12-12 |
| 1225676026 | Leann Mogensen | Physical Therapist | 1676 Sunset Ave, Utica, NY 13502-5416 | 2019-12-12 |
| 1023656832 | Sierra Servadio | Physical Therapist | 1676 Sunset Ave, Utica, NY 13502-5416 | 2019-12-12 |
| 1396383295 | Joanne Davis | Occupational Therapist | 1676 Sunset Ave, Utica, NY 13502-5416 | 2019-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152627 | Mary Imogene Bassett Hospital | Pharmacy | 231 N Genesee St Fl 2, Utica, NY 13502 | 2020-10-20 |
| 1922635002 | Beth Ann Laporte | Social Worker | Drn Counseling & Consulting Services, 2621 Genesee Street, Utica, NY 13502 | 2020-03-26 |
| 1689216038 | Mary Ann Stockhauser | Dietitian, Registered | 917 Newport Rd, Utica, NY 13502 | 2019-10-16 |
| 1538659719 | Brenda Ann Cruse-malone | Social Worker | Mohawk Valley Psychiatric Center, Community Services Building 1400 Noyes St, Utica, NY 13502 | 2018-05-14 |
| 1184138265 | Genesee Street Medical Health | Psychiatry & Neurology | 286 Genesee St Ste 5, Utica, NY 13502 | 2017-11-28 |
| 1518470244 | Jeff Rohacek | Counselor | 1213 Court St., Suite 100, Utica, NY 13502 | 2017-11-16 |
| 1275044281 | Adam C Schwartz | Counselor | 122 Business Park Drive, Suite 1, Utica, NY 13502 | 2017-10-17 |
| 1346767175 | Jordynn Lynn Lee | Licensed Practical Nurse | 910 Mildred Ave, Utica, NY 13502 | 2017-08-23 |
| 1942751391 | Amanda Karla | Counselor | 502 Court Street Suite 210, Utica, NY 13502 | 2016-10-20 |
| 1407229974 | Hayley Hunt | Physician Assistant | 1658 Champlin Ave, Suite 335, Utica, NY 13502 | 2015-11-05 |
| Find all providers in zip 13502 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184788879 | Deerfield Family Practice, Pllc | Family Medicine | 5592 Trenton Rd, Utica, NY 13502-1138 | 2006-12-20 |
| 1609934025 | Douglas Ahn | Family Medicine | 6 Rhoads Dr., Utica, NY 13502 | 2006-12-05 |
| 1003982836 | Robert Karl Chruscicki | Family Medicine | 288 Genesee Street, Utica, NY 13502-4620 | 2006-11-24 |
| 1154400745 | Roger H Meyer | Family Medicine | 800 3rd St, Utica, NE 68456-6162 | 2006-11-03 |
| 1982799862 | Anthony J Jadhon | Family Medicine | 1801 Whitesboro St, Utica, NY 13502-3719 | 2006-10-04 |
| 1730288762 | Mark Edward Griffing | Family Medicine | 2112 Genesee St, Utica, NY 13502-5629 | 2006-09-22 |
| 1174629422 | Mangala Patil | Family Medicine | 35 Riverside Dr., Utica, NY 13502 | 2006-09-15 |
| 1891739793 | Venkata R Mannava | Family Medicine | 320 Herkimer Road, Utica, NY 13502 | 2006-06-15 |
| 1518912641 | Cynthia L Jones | Family Medicine | 1651 Oneida St, Utica, NY 13501-4723 | 2006-05-24 |
| 1700877743 | Steven Sperling | Family Medicine | 6 Hampden Pl, Utica, NY 13502-5631 | 2005-10-31 |
| Find all providers in UTICA | ||||
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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.