Individual provider Active NPI

Robert Keith, MPA, PA-C

  • Physician Assistant
  • Albion, ME
National Provider Identifier
1073613733
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1594 Issued in ME
Practice address
7 School St Ste 1
Albion, ME 04910
Phone
(207) 437-9388
Fax
(207) 437-2557
NPI assigned
Sep 23, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1594 ME Primary

Addresses

Primary practice location

7 School St Ste 1
Albion, ME 04910

Mailing address

7 School St
Ste 1
Albion, ME 04910-6501
Phone (207) 864-2699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160420001991 ME Practitioner - Physician Assistant 8123026887 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthreach Community Health Centers CurrentSince Jul 17, 2018 Accepting new patients
St. Mary's Regional Medical Center CurrentSince Mar 6, 2023 Accepting new patients
Healthreach Community Health Centers CurrentSince Jul 17, 2018 Accepting new patients
St. Mary's Regional Medical Center Past Accepting new patients
Emergency Medical of Sound Shore PC Past Accepting new patients

Locations

7 School St
#1
Albion, ME 04910
Phone (207) 437-9388

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

Interoperability endpoints

  • Direct secure messaging: rkeith1680462@direct.bsmhealth.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1073613733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SCHOOL ST",
            "address_2": "STE 1",
            "city": "ALBION",
            "state": "ME",
            "postal_code": "049106501",
            "telephone_number": "207-864-2699",
            "fax_number": "207-864-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SCHOOL ST STE 1",
            "city": "ALBION",
            "state": "ME",
            "postal_code": "04910",
            "telephone_number": "207-437-9388",
            "fax_number": "207-437-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "ROBERT",
        "credential": "MPA, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA1594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albion, ME

Sources for this page

Verify at the official NPI Registry.