York Primary Care LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

YORK PRIMARY CARE LLC

Practice address

1 Brickyard LN
Suite CC
York, ME 03909-1604

Phone

(207) 361-4902

Fax

(207) 363-2502

NPI assigned

Nov 27, 2006

Last updated

Jun 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joel William Keenan, M.D.NPI 1285746883

Title

Owner/Physician

Phone

(207) 361-4902

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joel William Keenan, MD

  • Internal Medicine Physician
  • York, ME
  • NPI 1285746883
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1134295769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BRICKYARD LN",
            "address_2": "SUITE CC",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091604",
            "telephone_number": "207-361-4902",
            "fax_number": "207-363-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRICKYARD LN",
            "address_2": "SUITE CC",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091604",
            "telephone_number": "207-361-4902",
            "fax_number": "207-363-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORK PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "KEENAN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "207-361-4902",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431948300",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• York Neurology, P. a.
• York Oncology Center
• York Orthodontics
• York Pain Consultants LLC PA
• York Plastic Surgery, LLC
• York Psychotherapy Associates Inc
• York School Department
• York Village Dental LLC
• Yorkrad LLC
• Ellen D Yost, D.P.T.

• Internal Medicine Physician in York, ME
• Providers in York, ME by specialty
• Internal Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.