Active NPI
Richard Floyd Keith, M.D.
- Pediatrics Physician
- Safford, AZ
National Provider Identifier
1346264819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 34592
- Practice address
- 1680 S 20TH Ave
Safford, AZ 85546-4011 - Phone
- (928) 428-1377
- Fax
- (928) 428-6903
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 34592 | AZ | Primary |
Addresses
Primary practice location
1680 S 20TH Ave
Safford, AZ 85546-4011
Mailing address
1680 S 20TH Ave
Safford, AZ 85546-4011
Phone (928) 428-1377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118948 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS IHS Phoenix Area | Past | Accepting new patients | |
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Past | Accepting new patients | |
| Gila Valley Clinic, PC | Past | Accepting new patients | |
| Mt Graham Regional Medical Center Inc | Past | Accepting new patients | |
| Gila Valley Clinic PC | Past | Accepting new patients |
Organizations & group practices 5
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.
-
dba Ak-Chin Clinic
- Public Health or Welfare Agency
- Maricopa, AZ
- NPI 1538043443
-
- Family Medicine Physician
- Safford, AZ
- NPI 1255510228
-
- Critical Access Hospital
- Safford, AZ
- NPI 1275588345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325203200000",
"number": "1346264819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1680 S 20TH AVE",
"city": "SAFFORD",
"state": "AZ",
"postal_code": "855464011",
"telephone_number": "928-428-1377",
"fax_number": "928-428-6903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1680 S 20TH AVE",
"city": "SAFFORD",
"state": "AZ",
"postal_code": "855464011",
"telephone_number": "928-428-1377",
"fax_number": "928-428-6903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEITH",
"first_name": "RICHARD",
"middle_name": "FLOYD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2011-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "34592",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118948",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Safford, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.