Larry Joseph Keating (NPI# 1215965488, PAC ID# 3476740457) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1215965488 |
| PAC ID by PECOS | 3476740457 |
| Professional Enrollment ID | I20101206001109 |
| Full Name | Larry Joseph Keating |
| Organization Legal Name | BENEZE MEDICAL GROUP |
| Address |
3003 Hwy 95 G73 Bullhead City AZ 86442-7860 |
| Phone Number | 5207587700 |
| Gender | M |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1557348562 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030101 | WESTERN ARIZONA REGIONAL MEDICAL CENTER |
| 030117 | VALLEY VIEW MEDICAL CENTER |
| 030055 | KINGMAN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3003 Hwy 95 G73, Bullhead City, AZ 86442-7860 | 5207587700 | BENEZE MEDICAL GROUP |
| Organization Legal Name | BENEZE MEDICAL GROUP |
| Physicians | 1 |
| Street Address |
3003 HWY 95 G73 |
| City | BULLHEAD CITY |
| State | AZ |
| Zip | 86442-7860 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick A Beck | Chiropractic | 2840 Hwy 95 420, Bullhead City, AZ 86442-3722 | |
| Manila Bobba | Physician Assistant | Desert Palms Medical Associates Inc | 3015 Hwy 95, Suite 105, Bullhead City, AZ 86442-4334 |
| Mandi L Filla | Nurse Practitioner | Desert Palms Medical Associates Inc | 3015 Hwy 95, Suite 105, Bullhead City, AZ 86442-4334 |
| Javed A Malik | Internal Medicine | Desert Palms Medical Associates Inc | 3015 Hwy 95, Suite 105, Bullhead City, AZ 86442-4334 |
| James Lawrence | Pulmonary Disease | 3015 Hwy 95, Suite 106, Bullhead City, AZ 86442-4334 | |
| Kim Butler | Physician Assistant | Desert Palms Medical Associates Inc | 3015 Hwy 95, Suite 105, Bullhead City, AZ 86442-4334 |
| Jennifer Booze-hawkes | Nurse Practitioner | Desert Palms Medical Associates Inc | 3015 Hwy 95, Suite 105, Bullhead City, AZ 86442-4334 |
| Nimfa R Aguila | Neurology | M.a.nayer, M.d.,p.c. | 3015 Hwy 95, Suite 109, Bullhead City, AZ 86442-4334 |
| Thomas G Givens Sr. | Physician Assistant | Desert Palms Medical Associates Inc | 3015 Hwy 95, Bullhead City, AZ 86442-4334 |
| Meena Sherpa | Internal Medicine | Western Mountain Medical Center PC | 3015 Hway, 95 Suite 107b, Bullhead City, AZ 86442-4339 |
| Find all physicians in zip 86442 | |||
| City | BULLHEAD CITY |
| Zip Code | 86442 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BULLHEAD CITY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Larry Joseph Keating.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.