Keith Gordey, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

036072678 Issued in IL

Practice address

302 Randall Rd
Ste 309
Geneva, IL 60134-4209

Phone

(630) 232-0202

Fax

(630) 232-0479

NPI assigned

Dec 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1104803378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 RANDALL RD",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344209",
            "telephone_number": "630-232-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 RANDALL RD",
            "address_2": "STE 309",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344209",
            "telephone_number": "630-232-0202",
            "fax_number": "630-232-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDEY",
        "first_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036072678",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036072678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036072678",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1615809",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Gonzalez, LCSW
• Joselyn Gonzalez, DO
• Jill Good
• William A. Goodfellow, M.D.
• Diane Goodman, PSYD
• Rebecca Gosain, MA, LCPC
• Aprilee Dawn Velez Gostomski, MD
• Goyke Health Center PC
• Kevin Allen Goyke, D.C.
• Douglas M. Gregerson, D.C.

• Pulmonary Disease Physician in Geneva, IL
• Providers in Geneva, IL by specialty
• Pulmonary Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.