John Fredrick Keithan Ii (NPI# 1104887041, PAC ID# 6608042098) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1104887041 |
PAC ID by PECOS | 6608042098 |
Professional Enrollment ID | I20120106000332 |
Full Name | John Fredrick Keithan Ii |
Address |
109 Hollingsworth Ave Rainbow City AL 35906-3141 |
Phone Number | 2564131095 |
Gender | M |
Medical School | MEDICAL COLLEGE OF PENNSYLVANIA |
Graduation Year | 1979 |
Primary Specialty | INTERNAL MEDICINE |
Secondary Specialties | GENERAL PRACTICE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
010040 | GADSDEN REGIONAL MEDICAL CENTER |
010104 | GRANDVIEW MEDICAL CENTER |
010046 | RIVERVIEW REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
109 Hollingsworth Ave, Rainbow City, AL 35906-3141 | 2564131095 |
Street Address |
109 HOLLINGSWORTH AVE |
City | RAINBOW CITY |
State | AL |
Zip | 35906-3141 |
Name | Specialty | Organization | Address |
---|---|---|---|
John E Morris | Certified Registered Nurse Anesthetist (crna) | Coosa Pain and Wellness | 3804 Rainbow Dr, Rainbow City, AL 35906-3051 |
Libby R Turnipseed | Nurse Practitioner | Coosa Pain and Wellness | 3804 Rainbow Dr, Rainbow City, AL 35906-3051 |
Thomas Kevin Lackey | Anesthesiology | Coosa Pain and Wellness | 3804 Rainbow Dr, Rainbow City, AL 35906-3051 |
Donald E Schueler | Certified Registered Nurse Anesthetist | Coosa Pain and Wellness | 3804 Rainbow Dr, Rainbow City, AL 35906-3051 |
David M Wallace | Chiropractic | 112 W Grand Ave, Rainbow City, AL 35906-3233 | |
Willbon B Bates | Family Practice | 309 W Grand Ave, Rainbow City, AL 35906-3241 | |
April R King | Optometry | 115 W Grand Ave, Suite 120, Rainbow City, AL 35906-3244 | |
Nicole Groover Woo | Nurse Practitioner | Stopwatch Urgent Care Centers LLC | 115 W Grand Ave, Suite 90, Rainbow City, AL 35906-3268 |
Linda Jones | Family Practice | Acsh Urgent Care of Alabama LLC | 115 W Grand Ave, Rainbow City, AL 35906-3268 |
Toni Michelle Hosea | Nurse Practitioner | Acsh Urgent Care of Alabama LLC | 115 W Grand Ave, Rainbow City, AL 35906-3268 |
Find all physicians in zip 35906 |
City | RAINBOW CITY |
Zip Code | 35906 |
Specialty | INTERNAL MEDICINE |
City + Specialty | RAINBOW CITY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on John Fredrick Keithan Ii.
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.