Active NPI
Robert Wayne Keeton Jr., MD
- Allergy & Immunology Physician
- Sevierville, TN
National Provider Identifier
1063530541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- MD0000043378
- Practice address
- 1024 Middle Creek Rd
Suite 2 & 3
Sevierville, TN 37862-6921 - Phone
- (865) 286-9977
- Fax
- (865) 286-9967
- NPI assigned
- Mar 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | MD0000043378 | TN | Primary |
Addresses
Primary practice location
1024 Middle Creek Rd
Suite 2 & 3
Sevierville, TN 37862-6921
Mailing address
1024 Middle Creek Rd
Suite 2 & 3
Sevierville, TN 37862-6921
Phone (865) 286-9977
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- University of Mississippi School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1024 Middle Creek Rd
Suite 2And3
Sevierville, TN 37862-6921
Phone (865) 286-9977
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43378 | TN | MD | Pharmacist |
| MD0000043378 | TN | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keeton Sleep Diagnostics LLC | Current | Accepting new patients | |
| Allergy Associates, P.a. | Past | Accepting new patients |
Interoperability endpoints
- keetonclinic.robertkeeton@119483.advancedmd-direct.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Allergy & Immunology Physician
- Sevierville, TN
- NPI 1144539180
-
- Physiological Laboratory
- Atoka, TN
- NPI 1346724549
-
- Specialist
- Knoxville, TN
- NPI 1073508347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352332800000",
"number": "1063530541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1024 MIDDLE CREEK RD",
"address_2": "SUITE 2 & 3",
"city": "SEVIERVILLE",
"state": "TN",
"postal_code": "378626921",
"telephone_number": "865-286-9977",
"fax_number": "865-286-9967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1024 MIDDLE CREEK RD",
"address_2": "SUITE 2 & 3",
"city": "SEVIERVILLE",
"state": "TN",
"postal_code": "378626921",
"telephone_number": "865-286-9977",
"fax_number": "865-286-9967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEETON",
"first_name": "ROBERT",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2012-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "TN",
"license": "MD0000043378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sevierville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.