David Anthony Keen (NPI# 1295759512, PAC ID# 6002891389) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1295759512 |
| PAC ID by PECOS | 6002891389 |
| Professional Enrollment ID | I20040621001628 |
| Full Name | David Anthony Keen |
| Organization Legal Name | WAKULLA URGENT CARE AND DIAGNOSTIC CENTER PLC |
| Address |
41 Feli Way Crawfordville FL 32327-2368 |
| Phone Number | 8509263140 |
| Gender | M |
| Credential | MD |
| Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 8022029867 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100106 | DOCTOR'S MEMORIAL HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 41 Feli Way, Crawfordville, FL 32327-2368 | 8509263140 | WAKULLA URGENT CARE AND DIAGNOSTIC CENTER PLC |
| Organization Legal Name | WAKULLA URGENT CARE AND DIAGNOSTIC CENTER PLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Valerie M Russell | Nurse Practitioner | Wakulla Urgent Care and Diagnostic Center Plc | 41 Feli Way, Crawfordville, FL 32327-2368 |
| Jessica Lynn Kalarovich | Nurse Practitioner | Wakulla Urgent Care and Diagnostic Center Plc | 41 Feli Way, Crawfordville, FL 32327-2368 |
| Street Address |
41 FELI WAY |
| City | CRAWFORDVILLE |
| State | FL |
| Zip | 32327-2368 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Valerie M Russell | Nurse Practitioner | Wakulla Urgent Care and Diagnostic Center Plc | 41 Feli Way, Crawfordville, FL 32327-2368 |
| Jessica Lynn Kalarovich | Nurse Practitioner | Wakulla Urgent Care and Diagnostic Center Plc | 41 Feli Way, Crawfordville, FL 32327-2368 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Binal Patel | Optometry | Myeyedr Optometry of Florida, LLC | 2140 Crawfordville Hwy, Crawfordville, FL 32327-1009 |
| Adriene D Hill | Chiropractic | 2001 Crawfordville Hwy C, Crawfordville, FL 32327-1019 | |
| Lisa Traver-etheridge | Clinical Social Worker | A Time To Change Counseling Center | 2140 Crawfordville Hwy, Unit B, Crawfordville, FL 32327-1097 |
| Madison C Thomas | Nurse Practitioner | Minute Clinic LLC | 2668 Crawfordville Hwy, Crawfordville, FL 32327-2160 |
| Teketa L Hall | Nurse Practitioner | Minute Clinic LLC | 2668 Crawfordville Hwy, Crawfordville, FL 32327-2160 |
| William R Treichel | Chiropractic | 2887 Crawfordville Hwy 1, Crawfordville, FL 32327-2173 | |
| Kristen Krakovec | Family Medicine | Tallahassee Memorial Healthcare Inc | 15 Council Moore Rd, Crawfordville, FL 32327-3117 |
| Andrea C Plagge | Family Medicine | Tallahassee Memorial Healthcare Inc | 15 Council Moore Rd, Crawfordville, FL 32327-3117 |
| Cortney Maria Whittington | Family Medicine | Tallahassee Memorial Healthcare Inc | 15 Council Moore Rd, Crawfordville, FL 32327-3117 |
| City | CRAWFORDVILLE |
| Zip Code | 32327 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CRAWFORDVILLE + FAMILY MEDICINE |
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| 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.