Elaine Mary Keane, OTRL

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

1150 Issued in WV

Practice address

One Baker Place
Mineral County Board of Education
Keyser, WV 26726

Phone

(304) 788-4200

Fax

(304) 788-6461

NPI assigned

Jan 16, 2008

Last updated

Jan 16, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mineral County Board of Education

  • Local Education Agency (LEA)
  • Keyser, WV, WV
  • NPI 1639348451
  NPD (past)
• Mineral County Board of Education

  • Local Education Agency (LEA)
  • Keyser, WV
  • NPI 1710175591
  NPD (past)

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1104002401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 N ALLEGANY STREET",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "21531",
            "telephone_number": "301-722-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE BAKER PLACE",
            "address_2": "MINERAL COUNTY BOARD OF EDUCATION",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "26726",
            "telephone_number": "304-788-4200",
            "fax_number": "304-788-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEANE",
        "first_name": "ELAINE",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "WV",
            "license": "1150",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "MD",
            "license": "02018",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810001121",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roberta Lynn Jones, RN
• Shanea Louise Jones
• Jonova Passion Jordan
• Joy E Cousins D O Co
• Kimberly Ann Judy
• Brenda Lee Keating
• Paula K Kelley
• Catherine Virginia Kemp
• Ellen Louise Kennan
• Bobbie Kerling

• Occupational Medicine Physician in Keyser, WV
• Providers in Keyser, WV by specialty
• Occupational Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.