Keith P Hussey MD PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME46740 Issued in FL

Legal business name

KEITH P HUSSEY MD PA

Practice address

681 Goodlette Rd N
Suite 130
Naples, FL 34102-5458

Phone

(239) 643-9767

Fax

(239) 649-5878

NPI assigned

Oct 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Keith P Hussey, MD

Title

President

Phone

(239) 643-9767

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228694400000",
    "number": "1295987030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 GOODLETTE RD N",
            "address_2": "SUITE 130",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025458",
            "telephone_number": "239-643-9767",
            "fax_number": "239-649-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 GOODLETTE RD N",
            "address_2": "SUITE 130",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025458",
            "telephone_number": "239-643-9767",
            "fax_number": "239-649-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH P HUSSEY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2008-12-08",
        "status": "A",
        "authorized_official_last_name": "HUSSEY",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-643-9767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME46740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049444500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "100010818",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dawn Michelle Kees
• Cassidy Rose Keller
• Diane M Keller
• Jennifer Lee Keller, APRN
• James Sheridan Kelley, MD
• Laura Kathryn Kelley, PHARMD

• Gastroenterology Physician in Naples, FL
• Providers in Naples, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.

Verify at the official NPI Registry.