Individual provider Active NPI

David Anthony Keen, M.D., M.P.H.

  • Family Medicine Physician
  • Crawfordville, FL
National Provider Identifier
1295759512
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME48825 Issued in FL
Practice address
41 Feli Way
Crawfordville, FL 32327-2368
Phone
(850) 926-3140
Fax
(850) 926-3163
NPI assigned
Jul 27, 2006
Last updated
Sep 13, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME48825 FL
Family Medicine Physician 207Q00000X ME48825 FL Primary

Addresses

Primary practice location

41 Feli Way
Crawfordville, FL 32327-2368

Mailing address

41 Feli Way
Crawfordville, FL 32327-2368
Phone (850) 926-3140

Other identifiers 1

IdentifierTypeStateIssuer
044087601MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20040621001628 FL Practitioner - Emergency MedicinePractitioner - Family Practice 6002891389 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Howard University College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wakulla Urgent Care and Diagnostic Center PLCGroup PAC ID 8022029867, 2 clinicians
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians

Practice addresses (Care Compare)

41 Feli Way
Crawfordville, FL 32327-2368
Phone (850) 926-3140

4641 Old Canoe Creek Rd
Saint Cloud, FL 34769-1550
Phone (407) 892-7344

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Wakulla Urgent Care & Diagnostic Center PLC CurrentSince Jul 25, 2021 Accepting new patients
Doctors Memorial Hospital Inc Family Medicine CurrentSince Mar 1, 2008 Accepting new patients
Wakulla Urgent Care & Diagnostic Center PLC Emergency Medicine CurrentSince Mar 2, 2006 Accepting new patients
Doctors Memorial Hospital Inc Family Medicine CurrentSince Mar 1, 2008 Accepting new patients
Post Acute Medical PLLC CurrentSince Apr 10, 2025 Accepting new patients
Arabella of Carrabelle Opco LLC PastSince Jan 28, 2025 Accepting new patients
Perry Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Shands at Lake Shore Inc Past Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

1104 N Main St
Bushnell, FL 33513
Phone (352) 568-8777

549 Sky Harbor Dr
Bldg 31
Clearwater, FL 33759
Phone (727) 724-6800

41 Feli Way
Crawfordville, FL 32327
Phone (850) 879-7831

333 N Byron Butler Pkwy
Perry, FL 32347
Phone (850) 584-0643

407 E Ash St
Perry, FL 32347
Phone (850) 584-0800

4641 Old Canoe Creek Rd
Saint Cloud, FL 34769
Phone (212) 768-0008

16200 S Jog Rd
West Delray Beach, FL 33446
Phone (561) 362-9644

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Carrabelle Nursing and RehabilitationCarrabelle, FL, CCN 106081 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 28, 2025
Aug 5, 2025
Wakulla Urgent Care & Diagnostic Center PLCCrawfordville, FL, CCN 103815 Rural health clinic 5% Or Greater Direct Ownership Interest
Corporate Director
W-2 Managing Employee
Aug 3, 2009
Aug 3, 2009
Aug 3, 2009

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1295759512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 FELI WAY",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323272368",
            "telephone_number": "850-926-3140",
            "fax_number": "850-926-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 FELI WAY",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323272368",
            "telephone_number": "850-926-3140",
            "fax_number": "850-926-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEN",
        "first_name": "DAVID",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME48825",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME48825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044087601",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crawfordville, FL

Sources for this page

Verify at the official NPI Registry.