NPIMap

Organization Active NPI

Keith O Kielmeyer MD Professional Corporation

  • Medical Specialty Clinic/Center
  • Fresno, CA
National Provider Identifier
1184878340
Registry record updated May 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
C35402 Issued in CA
Legal business name
KEITH O KIELMEYER MD PROFESSIONAL CORPORATION
Practice address
5536 E Lane Ave
Fresno, CA 93727-5336
Phone
(559) 970-3411
NPI assigned
Nov 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2009

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

Authorized official

Name
Dr. Keith O Kielmeyer, M.D.
Title
President
Phone
(559) 970-3411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X C35402 CA Primary

Addresses

Primary practice location

5536 E Lane Ave
Fresno, CA 93727-5336

Mailing address

5536 E Lane Ave
Fresno, CA 93727-5336
Phone (559) 970-3411

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243296000000",
    "number": "1184878340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5536 E LANE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937275336",
            "telephone_number": "559-970-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5536 E LANE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937275336",
            "telephone_number": "559-970-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH O KIELMEYER MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-13",
        "last_updated": "2009-05-26",
        "status": "A",
        "authorized_official_last_name": "KIELMEYER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-970-3411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "C35402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; 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.