Individual provider Active NPI

John Spurgeon Keebler, MD

  • Otolaryngology Physician
  • Mobile, AL
National Provider Identifier
1326194358
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD 8321 Issued in AL
Practice address
6701 Airport Blvd
Ste B123
Mobile, AL 36608-3764
Phone
(251) 633-2323
Fax
(251) 633-2463
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD 8321 AL Primary

Addresses

Primary practice location

6701 Airport Blvd
Ste B123
Mobile, AL 36608-3764

Mailing address

6701 Airport Blvd
Ste B123
Mobile, AL 36608-3764
Phone (251) 633-2323

Other identifiers 1

IdentifierTypeStateIssuer
51043378OtherALBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110727000210 AL Practitioner - Otolaryngology 1759559263 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 8321ALMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Healthcare Services Current Accepting new patients

Locations

6701 Airport Blvd
Ste A101
Mobile, AL 36608
Phone (251) 633-8880

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326194358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD",
            "address_2": "STE B123",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083764",
            "telephone_number": "251-633-2323",
            "fax_number": "251-633-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD",
            "address_2": "STE B123",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083764",
            "telephone_number": "251-633-2323",
            "fax_number": "251-633-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEBLER",
        "first_name": "JOHN",
        "middle_name": "SPURGEON",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AL",
            "license": "MD 8321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51043378",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.