James Edward Keeler, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

085-000326 Issued in IL

Practice address

3307 Broadway St
Suite 140
Mount Vernon, IL 62864-2347

Phone

(618) 244-7200

NPI assigned

Feb 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• Care First Medical Center

  • Family Medicine Physician
  • Mount Vernon, IL
  • NPI 1598777435
  NPD

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1346376274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 CHERRY ST",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642443",
            "telephone_number": "618-214-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 BROADWAY ST",
            "address_2": "SUITE 140",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642347",
            "telephone_number": "618-244-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEELER",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085-000326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Dawn Jones, PTA
• Carolynne Jorgenson
• Tammi Lynn Kash, N/A
• Kaushal Pediatric Services LTD
• Neeta B Kaushal, MD
• Deanna Marie Keiser
• Rya Keller, SLP
• James Kellerman, M.H.P.
• Nancy K Kertz, NP
• Chelsea Danielle Kesel, MS, CCC-SLP

• Medical Physician Assistant in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Medical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.