Mitchell F Keamy III MD PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

5653 Issued in NV

Legal business name

MITCHELL F KEAMY III MD PC

Practice address

1710 Waldman Ave
Las Vegas, NV 89102-2451

Phone

(702) 612-7125

Fax

(702) 383-0773

NPI assigned

Mar 5, 2010

Organization subpart

No

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

Authorized official

Name

Judy V Smith

Title

Administrator

Phone

(702) 395-1872

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267747200000",
    "number": "1366765273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33121",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891333121",
            "telephone_number": "702-612-7125",
            "fax_number": "702-383-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 WALDMAN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022451",
            "telephone_number": "702-612-7125",
            "fax_number": "702-383-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL F KEAMY III MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-05",
        "last_updated": "2010-03-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-395-1872"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "5653",
            "primary": true
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "NV",
            "license": "5653",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100504191",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fabienne Mistry
• Neville F Mistry, MD
• Mitchel Phillips DO
• Mitchel Phillips DO LTD
• Jaimee Mitchel, OTR
• Debra Mitchell Wright
• Adam Mitchell, CPC-INTERN
• Adrianne Mitchell
• Alicia Renee Mitchell
• Amanda Dashay Mitchell

• All providers in Las Vegas, NV
• Anesthesiology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; 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.