Keith Charles Damico, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

102719 Issued in NC

Practice address

5235 NC 226 S
Marion, NC 28752-8733

Phone

(828) 766-7278

Fax

(822) 766-2849

NPI assigned

Nov 8, 2006

Last updated

Jul 30, 2009By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Keith C Damico PA C Professional Association

  • Medical Physician Assistant
  • Marion, NC
  • NPI 1013088954
  NPD (past) Authorized official
• Diaa E Hussein MD LLC

  dba Greenway Family Practice

  • Family Medicine Physician
  • Morganton, NC
  • NPI 1891731345
  NPD (past)
• East Asheville Family Health Care P.a.

  • Family Medicine Physician
  • Black Mountain, NC
  • NPI 1386682367
  NPD (past)
• Health-Pro Mental Health Services PLLC

  • Psychiatry Physician
  • Charlotte, NC
  • NPI 1235184813
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248912000000",
    "number": "1285704585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 448",
            "city": "CROSSNORE",
            "state": "NC",
            "postal_code": "286160448",
            "telephone_number": "828-766-7278",
            "fax_number": "822-766-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5235 NC 226 S",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287528733",
            "telephone_number": "828-766-7278",
            "fax_number": "822-766-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMICO",
        "first_name": "KEITH",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2009-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "102719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Crawford-Meyers
• Martha Stone Crenshaw, PA-C
• Crossroads Recovery Center, Incorporated
• April Nicole Crummie, LCSWA
• Rhett Crummie, LCAS
• Michael Dana, PA-C
• Alisha Davall, RRT
• Wesley Adam Davenport, NP
• Alisha Rogers Davis, LCSW
• Jennifer C Davis, RN

• Medical Physician Assistant in Marion, NC
• Providers in Marion, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.