NPIMap

Organization Active NPI

Gregory Keyes MD PS

  • Family Medicine Physician
  • Bainbridge Island, WA
National Provider Identifier
1174623383
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00019400 Issued in WA
Legal business name
GREGORY KEYES MD PS
Practice address
123 Bjune Dr SE
Suite 101
Bainbridge Island, WA 98110-2503
Phone
(206) 842-3222
Fax
(206) 842-1877
NPI assigned
Sep 25, 2006
Last updated
Jun 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Authorized official

Name
Gregory Keyes, MDNPI 1407956600
Title
Owner
Phone
(360) 842-3222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD00019400 WA Primary

Addresses

Primary practice location

123 Bjune Dr SE
Suite 101
Bainbridge Island, WA 98110-2503

Mailing address

123 Bjune Dr SE
Suite 101
Bainbridge Island, WA 98110-2459
Phone (206) 842-3222

National Provider Directory

National Provider Directory

Locations

231 Madison Ave S
Bainbridge Island, WA 98110
Phone (206) 842-2777

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1174623383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 BJUNE DR SE",
            "address_2": "SUITE 101",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102459",
            "telephone_number": "206-842-3222",
            "fax_number": "206-842-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 BJUNE DR SE",
            "address_2": "SUITE 101",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102503",
            "telephone_number": "206-842-3222",
            "fax_number": "206-842-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY KEYES MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "KEYES",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-842-3222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00019400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.