David W Keetch, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

100522 Issued in MO

Practice address

12855 N 40 Dr
Suite 375
Saint Louis, MO 63141-8635

Phone

(314) 567-6071

Fax

(314) 567-7961

NPI assigned

Dec 2, 2005

Last updated

May 18, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Parkcrest Plastic Surgery, Inc.

  • Plastic and Reconstructive Surgery Physician
  • Saint Louis, MO
  • NPI 1073676755
  NPD (past)
• Urology of St. Louis, Inc.

  • Urology Physician
  • Fairview Heights, IL
  • NPI 1528901287
  NPD (past)

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1184608143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9852 LEBANON GREENS DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271514",
            "telephone_number": "314-849-0046",
            "fax_number": "314-567-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12855 N 40 DR",
            "address_2": "SUITE 375",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418635",
            "telephone_number": "314-567-6071",
            "fax_number": "314-567-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEETCH",
        "first_name": "DAVID",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036-104975",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MO",
            "license": "100522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Keeper
• Jacob Brian Keeperman, MD
• Keeping Hope 2 Home Healthcare LLC
• Keeping Hope Home Health Care, LLC
• Keeping Hope Home Health Care, LLC
• James Keeton, LPC
• Grace Cline Keeven, FNP-C
• McKayla Mildred Keeven, DNP, CPNP-AC
• Meaghan Anne Keeven, ACNP
• Shelley Marie Keeven, LPC

• Urology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Urology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.