John Robert McKevett

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

28781-021 Issued in WI

Practice address

11134 N Hwy 77
Hayward, WI 54843

Phone

(715) 634-5505

Fax

(715) 634-5558

NPI assigned

Jul 5, 2006

Last updated

May 9, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Gibson Community Hospital Association

  dba Gibson Area Hospital and Health Services

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304899200000",
    "number": "1174554711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11134 N HWY 77",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "54843",
            "telephone_number": "715-634-5505",
            "fax_number": "715-634-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11134 N HWY 77",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "54843",
            "telephone_number": "715-634-5505",
            "fax_number": "715-634-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEVETT",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "28781-021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30027000",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "952090200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Eugenia Marucha, COTA
• Mary Cord Mason, M.D.
• Robyn McAlpine
• Michael McCusker, R.P.T.
• Sandra Elizabeth McGee, OTR/L
• Medical Services, Inc (Tamarack Health Hayward Medical Center)
• Medical Services, Inc (Clinic Services of Hayward Area Memorial Hospital)
• Medical Services, Inc (Tamarack Health Hayward Medical Center)
• Medical Services, Inc (Tamarack Health Water's Edge)
• Medical Services, Inc (Tamarack Health Hayward Medical Center)

• Family Medicine Physician in Hayward, WI
• Providers in Hayward, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.