Keen Immediate Care Clinic

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

KEEN IMMEDIATE CARE CLINIC

Doing business as

Keen Urgent Care Clinic

Practice address

749 Riverside Drive LN
Macon, GA 31201-2658

Phone

(478) 832-2265

NPI assigned

Apr 12, 2021

Last updated

Apr 12, 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

Mr. David Osedo, PA-CNPI 1689805400

Title

Physician Assistant

Phone

(901) 283-4637

Specialties & licenses 1

Addresses

Other names 1

• Keen Urgent Care Clinic Doing business as

Electronic endpoints 2

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.

• David O Osedo, PA-C

  • Physician Assistant
  • Memphis, TN
  • NPI 1689805400
  NPD (past) Authorized official

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1255911368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5243 RIVERSIDE DR APT 1502",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312100869",
            "telephone_number": "901-283-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 RIVERSIDE DRIVE LN",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012658",
            "telephone_number": "478-832-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEEN IMMEDIATE CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "OSEDO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "901-283-4637",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "478-832-2265",
            "affiliation": "N",
            "endpointDescription": "official cell phone",
            "address_1": "749 Riverside Drive Ln",
            "city": "Macon",
            "state": "GA",
            "country_code": "US",
            "postal_code": "312012658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "478-832-2205",
            "affiliation": "N",
            "endpointDescription": "Official  office phone",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "478-832-2265",
            "address_1": "749 Riverside Drive Ln",
            "city": "Macon",
            "state": "GA",
            "country_code": "US",
            "postal_code": "312012658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Keen Urgent Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harjeet Kaur, MD
• Stephanie Reich Kauzlarich, PT
• Quana Kavanagh, RN
• Aisha Kazi
• Kushal KC, M.D.
• Krista Lauren Keen, NP
• Mark William Keenan, MD
• Brandy Keeter
• Ashley J Keeton, CRNA
• Thomas Earl Kehl, MD

• General Practice Physician in Macon, GA
• Providers in Macon, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.