Active NPI
Keddie L Marsh Dinham, MD
- Obstetrics & Gynecology Physician
- Poughkeepsie, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 276055
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009911469 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, FL, NY, ME, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00027443 | AL | MD | Obstetrics & Gynecology Physician |
| 27443 | AL | MD | Obstetrics & Gynecology Physician |
| 122320 | FL | MD | Obstetrics & Gynecology Physician |
| ME122320 | FL | MD | Obstetrics & Gynecology Physician |
| 47848 | KY | MD | Obstetrics & Gynecology Physician |
| 22991 | ME | MD | Obstetrics & Gynecology Physician |
| 60791 | MT | MD | Obstetrics & Gynecology Physician |
| 276055 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Community Healthcare Group Inc | Current | Accepting new patients | |
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Phoenix Womens Health LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Valley Physician Services PC | Current | Accepting new patients | |
| Sun River Health Inc. | Current | Accepting new patients | |
| Sun River Health Inc | Current | Accepting new patients | |
| Premier Community Healthcare Group, Inc. | Current | 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 | Past | 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
- keddie.marsh-dinham.1@5622.direct.athenahealth.com
- 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.
-
- Internal Medicine Physician
- Paramus, NJ
- NPI 1467815928
-
- Federally Qualified Health Center (FQHC)
- Amenia, NY
- NPI 1568526838
-
- Obstetrics & Gynecology Physician
- Boca Raton, FL
- NPI 1710647334
-
- Obstetrics & Gynecology Physician
- Huntsville, AL
- NPI 1891079968
-
- Federally Qualified Health Center (FQHC)
- Dade City, FL
- NPI 1841263399
-
- Federally Qualified Health Center (FQHC)
- Peekskill, NY
- NPI 1619969458
-
- Obstetrics & Gynecology Physician
- Melbourne, FL
- NPI 1245472661
-
- Obstetrics & Gynecology Physician
- Winter Haven, FL
- NPI 1851282016
-
- Federally Qualified Health Center (FQHC)
- Zephyrhills, FL
- NPI 1508445362
-
- General Acute Care Hospital
- Yonkers, NY
- NPI 1578526695
-
- Obstetrics & Gynecology Physician
- Decatur, AL
- NPI 1154434660
-
- Obstetrics & Gynecology Physician
- Madison, AL
- NPI 1780406660
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.