JOHN DAVID KEITZ (NPI# 1912092818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912092818 |
| Entity Type | Individual |
| Full Name | JOHN DAVID KEITZ |
| Credential | D.O. |
| Practice Address |
95 Garden Ln Joplin MO 64801-9114 |
| Practice Telephone | 4175293309 |
| Mailing Telephone | 4175293309 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-03-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 036133723 | IL | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 2005001991 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
95 GARDEN LN |
| City | JOPLIN |
| State | MO |
| Zip Code | 64801-9114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747783 | Chelsea Marie Wilson | Speech-Language Pathologist | Kaleidoscope Clinic 3531 N Range Line Rd, Joplin, MO 64801 | 2020-07-21 |
| 1639669807 | Cassandra Lee Williams | Speech-Language Pathologist | 310 W 8th Street, Joplin, MO 64801 | 2018-05-14 |
| 1427593177 | Healthone Labs LLC | Clinical Medical Laboratory | 101 N Rangline Rd, 304, Joplin, MO 64801 | 2017-01-04 |
| 1902253768 | Options Outpaitent Counseling Service | Counselor | 1515 W 10th St., Suite E, Joplin, MO 64801 | 2016-05-20 |
| 1467833871 | Regan Gass | Nurse Practitioner | 2912 West 16th Street, Joplin, MO 64801 | 2015-06-11 |
| 1881091171 | Pamela Ann Younger | Dental Hygienist | 530 S Maiden Lane, Joplin, MO 64801 | 2014-12-02 |
| 1588908065 | Amy Maria Manrique | Counselor | 301 E. Virginia Street, Joplin, MO 64801 | 2012-11-21 |
| 1356612329 | Ideal Care Clinical Services, LLC | Pharmacy | 5898 North Main, Suite 109, Joplin, MO 64801 | 2012-01-23 |
| 1124256037 | Nathalie Grace Canete Husain | Physical Therapist | Gmmpcpi 214 West 5th St., Suite D & E, Joplin, MO 64801 | 2009-06-30 |
| 1912162447 | David Odinga Egessah | Occupational Therapist | 214 West 5th St, Gmm Procare Providers Inc, Joplin, MO 64801 | 2008-07-24 |
| Find all providers in zip 64801 | ||||
| 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 |
|---|---|---|---|---|
| 1649427352 | Jason Lee Kent | Emergency Medicine | 3018 Abigail Lane, Joplin, MO 64804 | 2008-08-25 |
| 1326127176 | Douglas C Richards | Emergency Medicine | 220 Fox Fire Lane, Joplin, MO 64801-1577 | 2006-11-03 |
| 1922115310 | Chad A Boulware | Emergency Medicine | 1102 W 32nd St., Joplin, MO 64804 | 2006-08-23 |
| 1417061664 | Paula J Hartzell | Emergency Medicine | 1102 W. 32nd St., Joplin, MO 64804 | 2006-08-17 |
| 1477560712 | Jimmy D Morgan | Emergency Medicine | 1717 S Range Line Rd Ste B, Joplin, MO 64804-3224 | 2006-08-01 |
| 1669404992 | Stanley A Mounts | Emergency Medicine | 2727 Mc Clelland Blvd, Joplin, MO 64804-1626 | 2006-07-07 |
| 1346283892 | David K Hagedorn | Emergency Medicine | 3315 Mcintosh Cir, Joplin, MO 64804-3649 | 2006-06-13 |
| 1639142151 | John F Wilson | Emergency Medicine | 1130 E 32nd St, Joplin, MO 64804-4034 | 2006-02-08 |
| 1427674878 | Christina Marie Schramm | Emergency Medicine | 1031 Mcintosh Cir, Joplin, MO 64804-3643 | 2020-06-22 |
| 1346866746 | Nina D Pinjala | Emergency Medicine | 1102 W 32nd St, Joplin, MO 64804-3594 | 2020-06-22 |
| Find all providers in JOPLIN | ||||
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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.