NPIMap

Individual provider Active NPI

David J Keuhn, M.D.

  • Family Medicine Physician
  • Marshall, MO
National Provider Identifier
1124061056
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2001006204 Issued in MO
Practice address
2303 S Highway 65 Ste a
Marshall, MO 65340-3735
Phone
(660) 831-1175
Fax
(660) 831-1195
NPI assigned
Jun 14, 2006
Last updated
Jul 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 2001006204 MO
Family Medicine Physician 207Q00000X 2001006204 MO Primary

Addresses

Primary practice location

2303 S Highway 65 Ste a
Marshall, MO 65340-3735

Mailing address

4 N Jefferson Ave
Marshall, MO 65340-2148
Phone (660) 831-1175

Other practice location 1

2303 S Highway 65
Marshall, MO 65340-3734
Phone (660) 886-3364

Other identifiers 1

IdentifierTypeStateIssuer
205316508MedicaidMO

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address davidkeuhn@fitzgibbon.cernerdirect.com Direct
Direct Messaging Address davidkeuhn@fitzgibbon.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071013000108 MO Practitioner - Family Practice 9739288325 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Missouri, Columbia School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John Fitzgibbon Memorial Hospital IncGroup PAC ID 2567351570, shared by 12 NPIs, 45 clinicians

Practice addresses (Care Compare)

2303 S Hwy 65
Suite a
Marshall, MO 65340-3735

2303 S Hwy 65 a
Marshall, MO 65340-3735

2305 S 65 Hwy
Marshall, MO 65340-3702

2305 S Hwy 65
Marshall, MO 65340-3702

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2001006204MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Fitzgibbon Memorial Hospital Inc CurrentSince Apr 1, 2020 Accepting new patients
John Fitzgibbon Memorial Hospital Inc Current Accepting new patients
John Fitzgibbon Memorial Hospital Inc Family Medicine CurrentSince Jun 1, 2024 Accepting new patients
John Fitzgibbon Memorial Hospital, Inc. Current Accepting new patients
John Fitzgibbon Memorial Hospital Inc. CurrentSince Apr 1, 2020 Accepting new patients

Locations

815 E Broadway St
Brunswick, MO 65236
Phone (660) 548-3161

600 W Morrison St
Fayette, MO 65248
Phone (660) 248-2900

2303 S Highway 65
Ste A
Marshall, MO 65340
Phone (660) 831-1175

2305 S Highway 65
Marshall, MO 65340
Phone (660) 831-3730

2305 S Highway 65
Bldg A
Marshall, MO 65340
Phone (660) 886-7800

212 College St
Pilot Grove, MO 65276
Phone (660) 831-3728

420 W Front St
Slater, MO 65349
Phone (660) 529-2251

Organizations & group practices 6

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1124061056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 N JEFFERSON AVE",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653402148",
            "telephone_number": "660-831-1175",
            "fax_number": "660-831-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 S HIGHWAY 65 STE A",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653403735",
            "telephone_number": "660-831-1175",
            "fax_number": "660-831-1195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2303 S Highway 65",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "MO",
            "postal_code": "653403734",
            "country_code": "US",
            "telephone_number": "660-886-3364",
            "fax_number": "660-886-6044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEUHN",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2001006204",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2001006204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205316508",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "davidkeuhn@fitzgibbon.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "DAVID  KEUHN John Fitzgibbon Memorial Hospital Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "4 N Jefferson",
            "city": "Marshall",
            "state": "MO",
            "country_code": "US",
            "postal_code": "65340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "davidkeuhn@fitzgibbon.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "2303 S Highway 65 Ste A",
            "city": "Marshall",
            "state": "MO",
            "country_code": "US",
            "postal_code": "653403735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marshall, MO

Sources for this page

Verify at the official NPI Registry.