Organization Active NPI

Keever Pediatrics PA

  • Primary Care Clinic/Center
  • Rogers, AR
National Provider Identifier
1326592841
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
E3170 Issued in AR
Legal business name
KEEVER PEDIATRICS PA
Practice address
5507 W Walsh LN Ste 101
Rogers, AR 72758-9007
Phone
(479) 544-9432
Fax
(479) 544-9443
NPI assigned
Aug 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Authorized official

Name
Craig Eugene Keever, MD
Title
Owner
Phone
(479) 544-9432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X E3170 AR Primary

Addresses

Primary practice location

5507 W Walsh LN Ste 101
Rogers, AR 72758-9007

Mailing address

5507 W Walsh LN Ste 101
Rogers, AR 72758-9007
Phone (479) 544-9432

Other identifiers 1

IdentifierTypeStateIssuer
146352001MedicaidAR

Other names 1

  • Ozark Pediatrics PLLC Other name

National Provider Directory

National Provider Directory

Locations

5507 W Walsh Ln
Ste 101
Rogers, AR 72758
Phone (479) 464-8231

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1326592841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5507 W WALSH LN STE 101",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727589007",
            "telephone_number": "479-544-9432",
            "fax_number": "479-544-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5507 W WALSH LN STE 101",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727589007",
            "telephone_number": "479-544-9432",
            "fax_number": "479-544-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEEVER PEDIATRICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-12",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "KEEVER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-544-9432",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AR",
            "license": "E3170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146352001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ozark Pediatrics PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.