Keith J Attkiss, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

038351 Issued in CT

Practice address

Two and a Half Dearfield Drive
Suite 203
Greenwich, CT 06831

Phone

(203) 862-2700

Fax

(203) 869-5915

NPI assigned

Jan 30, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kattkiss5372@direct.ynhh.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Greenwich Plastic Surgery LLC

  • Plastic Surgery Physician
  • Greenwich, CT
  • NPI 1568770477
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1053457408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 1/2 DEARFIELD DRIVE",
            "address_2": "SUITE 203",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "06831",
            "telephone_number": "203-862-2700",
            "fax_number": "203-869-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TWO AND A HALF DEARFIELD DRIVE",
            "address_2": "SUITE 203",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "06831",
            "telephone_number": "203-862-2700",
            "fax_number": "203-869-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTKISS",
        "first_name": "KEITH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CT",
            "license": "038351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plastic Surgery Physician in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Plastic Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.