Michael Edward Keesler (NPI# 1609228022, PAC ID# 7517246390) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1609228022 |
| PAC ID by PECOS | 7517246390 |
| Professional Enrollment ID | I20161118000656 |
| Full Name | Michael Edward Keesler |
| Address |
77 Rochelle Ave Philadelphia PA 19128-3809 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 77 Rochelle Ave, Philadelphia, PA 19128-3809 | ||
| 8400 Roosevelt Blvd, Suite 206, Philadelphia, PA 19152-2081 | 2153337562 | JEFFREY S GRAND, PSYD, PLLC |
| Street Address |
77 ROCHELLE AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip | 19128-3809 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William D La Valle | Psychologist, Clinical | Intercommunity Action Inc | 6122 Ridge Ave, Philadelphia, PA 19128-1603 |
| Darnell M Lorick | Nurse Practitioner | Intercommunity Action Inc | 6122 Ridge Ave, Philadelphia, PA 19128-1603 |
| Christina Hallquist | Clinical Social Worker | Intercommunity Action Inc | 6122 Ridge Ave, Philadelphia, PA 19128-1603 |
| Michael P Gray | Psychologist, Clinical | Intercommunity Action Inc | 6122 Ridge Ave, Philadelphia, PA 19128-1603 |
| Erica M Brendel | Psychiatry | Intercommunity Action Inc | 6122 Ridge Ave, Philadelphia, PA 19128-1603 |
| Deborah A Carter | Clinical Social Worker | Intercommunity Action, Inc | 6122 Ridge Ave, Philadelphia, PA 19128-1603 |
| Daniel T Fitzgerald | Clinical Social Worker | Intercommunity Action, Inc | 6122 Ridge Ave, Philadelphia, PA 19128-1603 |
| Paul L Ezeukwu | Physical Therapy | Lyceum Physical Medicine, PC | 6062 Ridge Ave, Philadelphia, PA 19128-1647 |
| Samuel Schepart | Chiropractic | Lyceum Longevity Center Pllc | 6062 Ridge Ave, Philadelphia, PA 19128-1647 |
| Marlene Fox Goldwein | Internal Medicine | Einstein Community Health Associates Inc | 6001 Ridge Ave, Philadelphia, PA 19128-1651 |
| Find all physicians in zip 19128 | |||
| City | PHILADELPHIA |
| Zip Code | 19128 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | PHILADELPHIA + PSYCHOLOGIST, CLINICAL |
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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.