Richard P Keim Jr. (NPI# 1750331419, PAC ID# 9537250592) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1750331419 |
| PAC ID by PECOS | 9537250592 |
| Professional Enrollment ID | I20070806000066 |
| Full Name | Richard P Keim Jr. |
| Organization Legal Name | ATLANTA ORAL AND FACIAL SURGERY LLC |
| Address |
3400 Old Milton Pkwy C525 Alpharetta GA 30005-4486 |
| Phone Number | 7704753190 |
| Gender | M |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Secondary Specialties | ORAL SURGERY |
| Group Practice PAC ID | 8628062387 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110076 | DEKALB MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3400 Old Milton Pkwy, C525, Alpharetta, GA 30005-4486 | 7704753190 | ATLANTA ORAL AND FACIAL SURGERY LLC |
| 1000 Johnson Ferry Rd H, Marietta, GA 30068-5518 | 7709770364 | ATLANTA ORAL AND FACIAL SURGERY LLC |
| Organization Legal Name | ATLANTA ORAL AND FACIAL SURGERY LLC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Carl Wunderle | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd H, Marietta, GA 30068-5518 |
| Paul J Schaner Ii | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 3405 Dallas Hwy, Bldg 900, Marietta, GA 30064 |
| Jonathan M.c. Threadgill | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd, Building H, Marietta, GA 30068-2100 |
| John P Labanc | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd H, Marietta, GA 30068-5518 |
| Steven Jule Levy | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd H, Marietta, GA 30068-5518 |
| Chris Jo | Oral Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd H, Marietta, GA 30068-5518 |
| Louis Sheldon Belinfante | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd H, Marietta, GA 30068-5518 |
| Martin R Velez | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 3400 Old Milton Pkwy, C525, Alpharetta, GA 30005-4486 |
| Robert K Mcghee | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd H, Marietta, GA 30068-5518 |
| Christopher Hugh Kragor | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd, Building H, Marietta, GA 30068-2100 |
| Street Address |
3400 OLD MILTON PKWY C525 |
| City | ALPHARETTA |
| State | GA |
| Zip | 30005-4486 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Silpa C Reddy | Hematology/oncology | Nsh Cancer Institute Professional Services A, LLC | 3400 Old Milton Pkwy, C400, Alpharetta, GA 30005-4512 |
| Vonda J Wright | Orthopedic Surgery | Northside Surgical Professional Services LLC | 3400 Old Milton Pkwy, C190, Alpharetta, GA 30005-4481 |
| Janet Marie Kelley | Family Medicine | North Atlanta Primary Care, P.C. | 3400 Old Milton Pkwy, Suite C270, Alpharetta, GA 30005-4414 |
| Elizabeth T Sergile | Family Medicine | Perimeter Professional Services, LLC | 3400 Old Milton Pkwy, A130, Alpharetta, GA 30005-4417 |
| Nikki Hughes | Family Medicine | North Atlanta Primary Care, P.C. | 3400 Old Milton Pkwy, Suite C270, Alpharetta, GA 30005-4414 |
| Satishkumar Mudduranganath Ganjam | Family Medicine | North Atlanta Primary Care, P.C. | 3400 Old Milton Pkwy, Suite C270, Alpharetta, GA 30005-4414 |
| Westly A Bailey | Family Medicine | Perimeter Professional Services, LLC | 3400 Old Milton Pkwy, A130, Alpharetta, GA 30005-4417 |
| Kendra Noel | Occupational Therapy | The Hand and Upper Extremity Center of Ga, PC | 3400 Old Milton Pkwy, A350, Alpharetta, GA 30005-3748 |
| Mark James Sakr | Family Medicine | Northside Surgical Professional Services LLC | 3400 Old Milton Pkwy, C190, Alpharetta, GA 30005-4481 |
| Krystyn Dunn Bullock | Occupational Therapy | The Hand and Upper Extremity Center of Ga, PC | 3400 Old Milton Pkwy, A350, Alpharetta, GA 30005-3748 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pauline Elizabeth Mallcott | Qualified Audiologist | Northside Surgical Professional Services LLC | 4150 Deputy Bill Cantrall Memorial Rd, Suite 260, Cumming, GA 30005 |
| Laurie A Walsh | Nurse Practitioner | Laureate Medical Group At Northside, LLC | 3400 C Old Milton Prkwy, Suite 500, Alpharetta, GA 30005 |
| Beth Ann Rosenberg | Occupational Therapy | N Motion Hand and Physical Therapy, LLC | 3155 Northpoint Pkwy, Bldg D Suite 100, Alpharetta, GA 30005 |
| Vanessa Kiepura | Internal Medicine | Laureate Medical Group At Northside, LLC | 3400 C Old Milton Prkwy, Suite 500, Alpharetta, GA 30005 |
| Robert A Mills | Internal Medicine | Laureate Medical Group At Northside, LLC | 3400 C Old Milton Prkwy, Suite 500, Alpharetta, GA 30005 |
| Elizabeth Boyter | Physician Assistant | Laureate Medical Group At Northside, LLC | 3400 C Old Milton Prkwy, Suite 500, Alpharetta, GA 30005 |
| Crystal C Sen | Physician Assistant | Laureate Medical Group At Northside, LLC | 3400 C Old Milton Prkwy, Suite 500, Alpharetta, GA 30005 |
| Stacey C Cox | Nurse Practitioner | Laureate Medical Group At Northside, LLC | 3400 C Old Milton Prkwy, Suite 500, Alpharetta, GA 30005 |
| Blair Hoffman | Nurse Practitioner | Laureate Medical Group At Northside, LLC | 3400 C Old Milton Prkwy, Suite 500, Alpharetta, GA 30005 |
| Julia Anne Bern | Nurse Practitioner | Laureate Medical Group At Northside, LLC | 3400 C Old Milton Prkwy, Suite 500, Alpharetta, GA 30005 |
| Find all physicians in zip 30005 | |||
| City | ALPHARETTA |
| Zip Code | 30005 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | ALPHARETTA + MAXILLOFACIAL SURGERY |
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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.