Active NPI
Don E Keener, MD
- Family Medicine Physician
- Adrian, MI
National Provider Identifier
1104812676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301034072
- Practice address
- 777 Kimole LN
Suite 230
Adrian, MI 49221-1478 - Phone
- (517) 263-5655
- Fax
- (517) 263-8012
- NPI assigned
- Sep 21, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301034072 | MI | Primary |
Addresses
Primary practice location
777 Kimole LN
Suite 230
Adrian, MI 49221-1478
Mailing address
777 Kimole LN
Suite 230
Adrian, MI 49221-1478
Phone (517) 263-5655
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0804646101 | Other | BCBS MI | |
| 4783556 | Medicaid | MI | |
| 113265 | Other | CARECHOICE/PREFERRED CHOI | |
| P00254437 | Other | RRMC | |
| 276465525 | Other | HNFS | |
| 03651 | Other | PARAMOUNT | |
| 0461389 | Medicaid | MI | |
| 276465525-001 | Other | MMO | |
| 4486102 | Other | AETNA | |
| 000000387440 | Other | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301034072 | MI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335830400000",
"number": "1104812676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 KIMOLE LN",
"address_2": "SUITE 230",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492211478",
"telephone_number": "517-263-5655",
"fax_number": "517-263-8012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 KIMOLE LN",
"address_2": "SUITE 230",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492211478",
"telephone_number": "517-263-5655",
"fax_number": "517-263-8012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEENER",
"first_name": "DON",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2012-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301034072",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MI",
"identifier": "0804646101",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4783556",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARECHOICE/PREFERRED CHOI",
"identifier": "113265",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "P00254437",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HNFS",
"identifier": "276465525",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT",
"identifier": "03651",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0461389",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMO",
"identifier": "276465525-001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4486102",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000387440",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Adrian, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.