Keyes Surgical Assist Inc

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA2081 Issued in FL

Legal business name

KEYES SURGICAL ASSIST INC

Practice address

1700 S 23Rd St
Fort Pierce, FL 34950-4803

Phone

(772) 461-4000

Fax

(772) 467-2856

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. James Miller Keyes, PA-C

Title

Physician Assistant Certified

Phone

(772) 398-9763

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1356494777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 WIDE RIVER CV",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349949132",
            "telephone_number": "772-398-9763",
            "fax_number": "772-337-7548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S 23RD ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504803",
            "telephone_number": "772-461-4000",
            "fax_number": "772-467-2856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYES SURGICAL ASSIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "KEYES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MILLER",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT CERTIFIED",
        "authorized_official_telephone_number": "772-398-9763",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA2081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "X1622",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DF1932",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METCARE",
            "identifier": "65113",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Gilmore DC PA (Gilmore Chiropractic)
• Mackenzie Paige Kenney, FNP-C
• Percy D. Kepfer, MD
• Jessica Kerr
• Amanda Joyce Kerwin, LCSW
• Khodadad Khairandish
• Maliha W Khan, M.D.
• Nafiz Majeed Khan, MD
• Rahil Khan, MD
• Zain Khan, MD

• Surgical Physician Assistant in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.