Keith C Damico PA C Professional Association

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

102719 Issued in NC

Legal business name

KEITH C DAMICO PA C PROFESSIONAL ASSOCIATION

Practice address

5235 NC 226 S
Marion, NC 28752-8733

Phone

(828) 652-3033

Fax

(828) 766-2849

NPI assigned

Nov 13, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Keith C Damico, PANPI 1285704585

Title

President

Phone

(828) 766-7278

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keith Charles Damico, PAC

  • Medical Physician Assistant
  • Marion, NC
  • NPI 1285704585
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013088954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 448",
            "city": "CROSSNORE",
            "state": "NC",
            "postal_code": "286160448",
            "telephone_number": "828-766-7278",
            "fax_number": "828-766-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5235 NC 226 S",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287528733",
            "telephone_number": "828-652-3033",
            "fax_number": "828-766-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH C DAMICO PA C PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAMICO",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-766-7278",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "102719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karoline Pittman Jones, PT, DPT
• Marie Endy Jordan, LCSW
• Julia Caldwell Joyner, FNP
• Just Move Rehabilitation Incorporation (Dean PT)
• Yolande Karsten
• Keith C Damico Pac Professional Association (Terry McCall MD)
• Leah Rachelle Kelley, LPC
• Ashley Lynn Kelvy
• Michelle Kim, D.D.S.
• Adam Joseph Kinninger, D.O.

• Medical Physician Assistant in Marion, NC
• Providers in Marion, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.