Active NPI
Joseph T Keelen Jr., PA
- Medical Physician Assistant
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA0002593
- Practice address
- 601 E Rollins St
Orlando, FL 32803-1248 - Phone
- (407) 303-5600
- NPI assigned
- Oct 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA0002593 | FL | Primary |
Addresses
Primary practice location
601 E Rollins St
Orlando, FL 32803-1248
Mailing address
500 Winderley PL
Suite 115
Maitland, FL 32751-7247
Phone (407) 875-0555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 970026904 | Other | FL | RR MEDICARE |
| 292205300 | Medicaid | FL |
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA0002593 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Halifax Healthcare Systems Inc | Current | Accepting new patients | |
| Emergency Physicians Inc | Past | Accepting new patients | |
| Emergency Physicians Inc | Past | Accepting new patients | |
| Sterthaus ER SVCS Partnership LLC | Past | Accepting new patients | |
| Emcare Physician Providers, Inc. | Past | Accepting new patients | |
| Observation Medicine Specialists LLC | Past | Accepting new patients | |
| Emcare Physician Providers, Inc. | Past | Accepting new patients |
Locations
303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285
401 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 424-5000
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 8
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.
-
dba HHCSI Halifax Family Health Center
- Family Medicine Physician
- Daytona Beach, FL
- NPI 1245283530
-
- Emergency Medical Services (Emergency Medicine) Physician
- Orlando, FL
- NPI 1811983752
-
- Emergency Medicine Physician
- Punta Gorda, FL
- NPI 1376592063
-
- Emergency Medicine Physician
- Ormond Beach, FL
- NPI 1629027487
-
dba Emergency Resources Group
- Emergency Medicine Physician
- Jacksonville, FL
- NPI 1285686675
-
- Internal Medicine Physician
- Maitland, FL
- NPI 1134596893
-
- Emergency Medicine Physician
- Daytona Beach, FL
- NPI 1043269376
-
dba Emergency Resource Group
- Emergency Medicine Physician
- Brunswick, GA
- NPI 1477001972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255046400000",
"number": "1326036989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 WINDERLEY PL",
"address_2": "SUITE 115",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517247",
"telephone_number": "407-875-0555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E ROLLINS ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328031248",
"telephone_number": "407-303-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEELEN",
"first_name": "JOSEPH",
"middle_name": "T",
"name_suffix": "Jr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-07",
"last_updated": "2009-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA0002593",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "970026904",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "292205300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.