Keith D Shealy (NPI# 1578557153, PAC ID# 9739098864) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1578557153 |
| PAC ID by PECOS | 9739098864 |
| Professional Enrollment ID | I20100204000876 |
| Full Name | Keith D Shealy |
| Organization Legal Name | MACKEY FAMILY PRACTICE PA |
| Address |
1025 W Meeting St Suite 200 Lancaster SC 29720-2246 |
| Phone Number | 8032857414 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7911816046 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420036 | SPRINGS MEMORIAL HOSPITAL |
| 420002 | PIEDMONT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1025 W Meeting St, Suite 200, Lancaster, SC 29720-2246 | 8032857414 | MACKEY FAMILY PRACTICE PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | MACKEY FAMILY PRACTICE PA |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Morrow Culp | Family Medicine | Mackey Family Practice Pa | 1025 W Meeting St, Suite 200, Lancaster, SC 29720-2246 |
| Linda Charbonier Daily | Family Medicine | Mackey Family Practice Pa | 1025 W Meeting St, Suite 200, Lancaster, SC 29720-2246 |
| Frank Sharp | Family Medicine | Mackey Family Practice Pa | 1025 W Meeting St, Suite 200, Lancaster, SC 29720-2246 |
| Rebekah A Stockstill | Physician Assistant | Mackey Family Practice Pa | 1025 W Meeting St, Suite 200, Lancaster, SC 29720-6219 |
| Street Address |
1025 W MEETING ST SUITE 200 |
| City | LANCASTER |
| State | SC |
| Zip | 29720-2246 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Morrow Culp | Family Medicine | Mackey Family Practice Pa | 1025 W Meeting St, Suite 200, Lancaster, SC 29720-2246 |
| Linda Charbonier Daily | Family Medicine | Mackey Family Practice Pa | 1025 W Meeting St, Suite 200, Lancaster, SC 29720-2246 |
| Frank Sharp | Family Medicine | Mackey Family Practice Pa | 1025 W Meeting St, Suite 200, Lancaster, SC 29720-2246 |
| Rebekah A Stockstill | Physician Assistant | Mackey Family Practice Pa | 1025 W Meeting St, Suite 200, Lancaster, SC 29720-6219 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Semple | Obstetrics/gynecology | Carolina Family Care Inc | 834 W Main St, Suite E, Lancaster, SC 29720 |
| Chad S Gindi | Physical Therapy | 1002 Woodland Dr, Lancaster, SC 29720 | |
| Maritza Manrique-kiniry | Obstetrics/gynecology | Carolina Family Care Inc | 834 W Main St, Suite E, Lancaster, SC 29720 |
| Erin Macsene Johnson | Clinical Social Worker | 1499 Lynwood Dr, Suite B, Lancaster, SC 29720-0964 | |
| Shukairo Townsend | Clinical Social Worker | Kmy International, LLC | 1499 Lynwood Dr, Suite B, Lancaster, SC 29720-0964 |
| Constantine Nicholas Canoutas | Podiatry | Instride Foot and Ankle Specialists, Pllc | 1190 Hwy 9 Byp W, Lancaster, SC 29720-1709 |
| Amrendra Kumar | Family Medicine | 1130 Hwy 9 W Byp, Lancaster, SC 29720-1709 | |
| William C Myers | Podiatry | Instride Foot and Ankle Specialists, Pllc | 1190 Hwy 9 Byp W, Lancaster, SC 29720-1709 |
| Sarah M Fitzgerald | Podiatry | Instride Foot and Ankle Specialists, Pllc | 1190 Hwy 9 Byp W, Lancaster, SC 29720-1709 |
| Brandon S Percival | Podiatry | Instride Foot and Ankle Specialists, Pllc | 1190 Hwy 9 Byp W, Lancaster, SC 29720-1709 |
| Find all physicians in zip 29720 | |||
| City | LANCASTER |
| Zip Code | 29720 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LANCASTER + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Keith D Shealy.
| 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.