Active NPI
Keith J Kalish DPM PA
- Foot Surgery Podiatrist
- Vero Beach, FL
National Provider Identifier
1295804367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- PO-001790
- Legal business name
- KEITH J KALISH DPM PA
- Practice address
- 1285 36TH St
Suite 203
Vero Beach, FL 32960-4885 - Phone
- (772) 567-0111
- Fax
- (772) 567-7117
- NPI assigned
- Nov 6, 2006
- Last updated
- May 7, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Keith Jay Kalish, D P M
- Title
- Owner-President
- Phone
- (772) 465-3207
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | PO-001790 | FL | Primary |
Addresses
Primary practice location
1285 36TH St
Suite 203
Vero Beach, FL 32960-4885
Mailing address
2500 Quincy Ave
Fort Pierce, FL 34947-4766
Phone (772) 465-3207
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Foot Surgery Podiatrist
- Vero Beach, FL
- NPI 1023124609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210118400000",
"number": "1295804367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 QUINCY AVE",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349474766",
"telephone_number": "772-465-3207",
"fax_number": "772-465-3235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1285 36TH ST",
"address_2": "SUITE 203",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329604885",
"telephone_number": "772-567-0111",
"fax_number": "772-567-7117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEITH J KALISH DPM PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-06",
"last_updated": "2008-05-07",
"status": "A",
"authorized_official_last_name": "KALISH",
"authorized_official_first_name": "KEITH",
"authorized_official_middle_name": "JAY",
"authorized_official_title_or_position": "OWNER-PRESIDENT",
"authorized_official_telephone_number": "772-465-3207",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D P M"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot Surgery",
"state": "FL",
"license": "PO-001790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.