Mohamed Keita

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

PA-PUC-A6414780 Issued in PA

Practice address

5030 Warrington Avenue
Philadelphia, PA 19143

Phone

(215) 939-1448

Fax

(215) 921-8530

NPI assigned

Feb 6, 2019

Last updated

Feb 6, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1336604024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 WARRINGTON AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19143",
            "telephone_number": "215-939-1448",
            "fax_number": "215-921-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 WARRINGTON AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19143",
            "telephone_number": "215-939-1448",
            "fax_number": "215-921-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITA",
        "first_name": "MOHAMED",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "PA",
            "license": "PA-PUC-A6414780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102800991",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Keim, MD
• Susan K Keim, MSN, MS, CRNP
• Lisa R Keiner, DO
• Rebecca N Keiser, LCSW
• Massa Keita
• Allison Bright Keiter, MSED, LPC, NCC
• Sara Anne Keith
• Tynae Dominique Keith
• Keiths Legacy Home Care LLC
• Janet Adeola Korede Keku-Lewis, MD

• Non-emergency Medical Transport (VAN) in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Non-emergency Medical Transport (VAN) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.