Joel William Keenan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME016460 Issued in ME

Practice address

1 Brickyard LN
Suite CC
York, ME 03909

Phone

(207) 361-4902

Fax

(207) 363-2505

NPI assigned

Aug 31, 2006

Last updated

Mar 14, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

University of Vermont College of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• York Hospital Hospital, York, ME, CCN 200020
• Elliot Hospital Hospital, Manchester, NH, CCN 300012
• Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018
• Portsmouth Regional Hospital Hospital, Portsmouth, NH, CCN 300029

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BJDAAA/Endpoint/BJDAAA

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.

• York Primary Care LLC

  • Internal Medicine Physician
  • York, ME
  • NPI 1134295769
  Medicare reassignment NPD Authorized official
• York Hospital

  • General Acute Care Hospital
  • York, ME
  • NPI 1376528398
  Medicare reassignment NPD
• Seacoast Pathology Inc

  • Clinical Medical Laboratory
  • Exeter, NH
  • NPI 1154651230
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• York Hospital

  • General Acute Care Hospital
  • York, ME
  • NPI 1376528398
  Care Compare affiliation
• Elliot Hospital of the City of Manchester

  • General Acute Care Hospital
  • Manchester, NH
  • NPI 1902996028
  Care Compare affiliation
• HCA Health Services of New Hampshire Inc

  dba Portsmouth Regional Hospital

  • General Acute Care Hospital
  • Portsmouth, NH
  • NPI 1518913607
  Care Compare affiliation
• Wentworth Douglass Hospital

  • General Acute Care Hospital
  • Dover, NH
  • NPI 1033118104
  Care Compare affiliation
• Wentworth Douglass Hospital

  • Diabetes Educator Registered Nurse
  • Dover, NH
  • NPI 1407385198

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1285746883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BRICKYARD LN",
            "address_2": "SUITE CC",
            "city": "YORK",
            "state": "ME",
            "postal_code": "03909",
            "telephone_number": "207-361-4902",
            "fax_number": "207-363-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRICKYARD LN",
            "address_2": "SUITE CC",
            "city": "YORK",
            "state": "ME",
            "postal_code": "03909",
            "telephone_number": "207-361-4902",
            "fax_number": "207-363-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENAN",
        "first_name": "JOEL",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "ME016460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431948300",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Harrison Jones, PHARMD
• Joshua Cole MD LLC
• Michael W Jung, MD
• Sally Ann Keck, MA, CCS, LADC, TTS-C
• Jennifer A Keefe, PMHNP
• Catherine A Kelley, RPH
• Tyla Nicole Kelley
• Nolan Kelly, DPT
• Kim Kelsey, LCSW
• Kerry E. Hoag PSYD (Lighthouse Counseling LLC)

• Internal Medicine Physician in York, ME
• Providers in York, ME by specialty
• Internal Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.