Individual provider Active NPI

Keddie L Marsh Dinham, MD

  • Obstetrics & Gynecology Physician
  • Poughkeepsie, NY
National Provider Identifier
1326137340
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
276055 Issued in NY
Practice address
75 Washington St
Poughkeepsie, NY 12601-2303
Phone
(845) 790-7999
Fax
(352) 567-1974
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 00027443 AL
Obstetrics & Gynecology Physician 207V00000X 27443 AL
Obstetrics & Gynecology Physician 207V00000X ME122320 FL
Obstetrics & Gynecology Physician 207V00000X 47848 KY
Obstetrics & Gynecology Physician 207V00000X 22991 ME
Obstetrics & Gynecology Physician 207V00000X 60791 MT
Obstetrics & Gynecology Physician 207V00000X 122320 FL
Obstetrics & Gynecology Physician 207V00000X 276055 NY Primary

Addresses

Primary practice location

75 Washington St
Poughkeepsie, NY 12601-2303

Mailing address

75 Washington St
Poughkeepsie, NY 12601-2303
Phone (845) 790-7999

Other practice location 1

38030 Daughtery Rd
Zephyrhills, FL 33540-1375
Phone (352) 518-2000

Other identifiers 1

IdentifierTypeStateIssuer
009911469MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL, NY, ME, NJ5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20071113000357 AL Practitioner - Obstetrics/Gynecology 4981792736 Reassigns benefits to 1 organization
I20150422000796 FL Practitioner - Obstetrics/Gynecology 4981792736 Reassigns benefits to 2 organizations
I20180322001746 NY Practitioner - Obstetrics/Gynecology 4981792736 Reassigns benefits to 1 organization
I20190517002179 ME Practitioner - Obstetrics/Gynecology 4981792736
I20230718001882 NJ Practitioner - Obstetrics/Gynecology 4981792736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
State University of New York Downstate Medical Center, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Physician Services PCGroup PAC ID 3577857333, 593 clinicians

Practice addresses (Care Compare)

108 Jackson St
Apt 6B
Hoboken, NJ 07030-6101
Phone (800) 825-5391

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00027443ALMDObstetrics & Gynecology Physician
27443ALMDObstetrics & Gynecology Physician
122320FLMDObstetrics & Gynecology Physician
ME122320FLMDObstetrics & Gynecology Physician
47848KYMDObstetrics & Gynecology Physician
22991MEMDObstetrics & Gynecology Physician
60791MTMDObstetrics & Gynecology Physician
276055NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Community Healthcare Group Inc CurrentSince Mar 16, 2015 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Sep 1, 2015 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Sep 1, 2015 Accepting new patients
Phoenix Womens Health LLC Obstetrics & Gynecology CurrentSince Oct 7, 2011 Accepting new patients
Valley Physician Services PC CurrentSince Jul 1, 2023 Accepting new patients
Sun River Health Inc. CurrentSince Feb 11, 2021 Accepting new patients
Sun River Health Inc Current Accepting new patients
Premier Community Healthcare Group, Inc. CurrentSince Mar 16, 2015 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
Decatur Physicians for Women, P.C. Obstetrics & Gynecology Past Accepting new patients
The Valley Hospital Inc. Past Accepting new patients
Euphrates Health and Wellness Center, LLC Obstetrics & Gynecology PastSince Nov 1, 2024 Accepting new patients
St. John's Riverside Hospital Past Accepting new patients

Locations

3007 Memorial Pkwy SW
Ste C
Huntsville, AL 35801
Phone (256) 382-3344

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

14027 5th St
Dade City, FL 33525
Phone (813) 782-6064

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

101 Avenue O SE
Winter Haven, FL 33880
Phone (863) 294-7010

38030 Daughtery Rd
Zephyrhills, FL 33540
Phone (813) 780-0711

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

6 Henry St
Beacon, NY 12508
Phone (845) 831-0400

23 Lakewood Ave
Monticello, NY 12701
Phone (845) 794-2010

75 Washington St
Poughkeepsie, NY 12601
Phone (845) 790-7990

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: keddie.marsh-dinham.1@5622.direct.athenahealth.com
  • Direct secure messaging: keddie.marshdinham@hrh.eclinicaldirectplus.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1326137340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 WASHINGTON ST",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126012303",
            "telephone_number": "845-790-7999",
            "fax_number": "352-567-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 WASHINGTON ST",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126012303",
            "telephone_number": "845-790-7999",
            "fax_number": "352-567-1974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38030 Daughtery Rd",
            "address_purpose": "LOCATION",
            "city": "Zephyrhills",
            "state": "FL",
            "postal_code": "335401375",
            "country_code": "US",
            "telephone_number": "352-518-2000",
            "fax_number": "352-567-1974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSH DINHAM",
        "first_name": "KEDDIE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "00027443",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "27443",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME122320",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "47848",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ME",
            "license": "22991",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MT",
            "license": "60791",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "122320",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "276055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009911469",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.