Keelyn Wu, DO

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

1574 Issued in ME

Practice address

98 Clearwater Dr
Falmouth, ME 04105-1398

Phone

(207) 781-7900

Fax

(207) 781-2900

NPI assigned

Aug 23, 2005

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

Enrolled in ME

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

Specialty

Osteopathic Manipulative Medicine

Education

University of New England, College of Osteo Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Osteopathic Healthcare of Maine, P.a.Group PAC ID 6406877448, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kwu@ohom-me.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Osteopathic Healthcare of Maine, P.a.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Falmouth, ME
  • NPI 1215154356
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1356333686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 CLEARWATER DR",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051398",
            "telephone_number": "207-781-7900",
            "fax_number": "207-781-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 CLEARWATER DR",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051398",
            "telephone_number": "207-781-7900",
            "fax_number": "207-781-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "KEELYN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "ME",
            "license": "1574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John M Willis, DDS
• John Macphee Willis, D.D.S
• Willow Womens Health LLC
• Kimberlee K Wing, OTR/L
• Kristiana Wright, OTRL
• Bruce Wyman, HIS
• Greggus Winer Yahr, PHD, NCSP
• Jennifer Germaine Yahr, APRN, CS
• Dahne L Yaitanes
• Angela York, HIS

• Neuromusculoskeletal Medicine & OMM Physician in Falmouth, ME
• Providers in Falmouth, ME by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.