Jennifer E Keith (NPI# 1275015901, PAC ID# 8820340086) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1275015901 |
| PAC ID by PECOS | 8820340086 |
| Professional Enrollment ID | I20181016003529 |
| Full Name | Jennifer E Keith |
| Organization Legal Name | BRIAN J LOGUE MD PC |
| Address |
2907 S Mcintire Dr Bloomington IN 47403-4225 |
| Phone Number | 8123328765 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6507815552 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150183 | MONROE HOSPITAL |
| 151317 | GREENE COUNTY GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2907 S Mcintire Dr, Bloomington, IN 47403-4225 | 8123328765 | BRIAN J LOGUE MD PC |
| Organization Legal Name | BRIAN J LOGUE MD PC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David R Elkins | Physician Assistant | Brian J Logue Md PC | 2907 S Mcintire Dr, Bloomington, IN 47403-4225 |
| Brian J Logue | Urology | Brian J Logue Md PC | 2907 S Mcintire Dr, Bloomington, IN 47403-4225 |
| Eric M Smith | Urology | Brian J Logue Md PC | 2907 S Mcintire Dr, Bloomington, IN 47403-4225 |
| Warren L Gray | Urology | Brian J Logue Md PC | 2907 S Mcintire Dr, Bloomington, IN 47403-4225 |
| Street Address |
2907 S MCINTIRE DR |
| City | BLOOMINGTON |
| State | IN |
| Zip | 47403-4225 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David R Elkins | Physician Assistant | Brian J Logue Md PC | 2907 S Mcintire Dr, Bloomington, IN 47403-4225 |
| Brian J Logue | Urology | Brian J Logue Md PC | 2907 S Mcintire Dr, Bloomington, IN 47403-4225 |
| Eric M Smith | Urology | Brian J Logue Md PC | 2907 S Mcintire Dr, Bloomington, IN 47403-4225 |
| Warren L Gray | Urology | Brian J Logue Md PC | 2907 S Mcintire Dr, Bloomington, IN 47403-4225 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peggy A Ryan | Nurse Practitioner | Planned Parenthood of Indiana and Kentucky Inc | 421 S College Ave, Bloomington Health Center, Bloomington, IN 47403-1514 |
| Lloyd D Ericson | Chiropractic | Osmon Chiropractic Center, LLC | 1332 W Arch Haven Ave, Suite C, Bloomington, IN 47403-2078 |
| Dylan C Witthoft | Chiropractic | Osmon Chiropractic Center, LLC | 1332 W Arch Haven Ave, Suite C, Bloomington, IN 47403-2078 |
| Brandon M Osmon | Chiropractic | Osmon Chiropractic Center, LLC | 1332 W Arch Haven Ave, Suite C, Bloomington, IN 47403-2078 |
| Beth Estelle Pruett | Chiropractic | Osmon Chiropractic Center, LLC | 1332 W Arch Haven Ave, Suite C, Bloomington, IN 47403-2078 |
| Brandon James Maze | Chiropractic | Osmon Chiropractic Center, LLC | 1332 W Arch Haven Ave, Suite C, Bloomington, IN 47403-2078 |
| Mandice M Williams | Chiropractic | Osmon Chiropractic Center, LLC | 1332 W Arch Haven Ave, C, Bloomington, IN 47403-2078 |
| David Savage | Thoracic Surgery | Indiana University Health Southern Indiana Physicians, Inc | 1312 W Arch Haven Ave A, Indiana University Health Southern, Bloomington, IN 47403-2088 |
| Thomas R Spevak | Physical Therapy | Advanced Physical Therapy LLC | 1312 W Arch Haven Ave Bldg 1320 E, Ati Physical Therapy of Indiana, Bloomington, IN 47403-2088 |
| Elysia C Tieman | Physical Therapy | Advanced Physical Therapy LLC | 1312 W Arch Haven Ave Bldg 1320 E, Ati Physical Therapy of Indiana, Bloomington, IN 47403-2088 |
| Find all physicians in zip 47403 | |||
| City | BLOOMINGTON |
| Zip Code | 47403 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BLOOMINGTON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jennifer E Keith.
| 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.