Individual provider Active NPI

Earl Joseph McKeever, MD

  • Family Medicine Physician
  • Knoxville, IA
National Provider Identifier
1386651503
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16625 Issued in IA
Practice address
1202 W Howard St
Knoxville, IA 50138-3103
Phone
(641) 828-7211
Fax
(641) 842-7030
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 16625 IA Primary

Addresses

Primary practice location

1202 W Howard St
Knoxville, IA 50138-3103

Mailing address

1002 S Lincoln St
Knoxville, IA 50138-3121
Phone (641) 842-2151

Other identifiers 2

IdentifierTypeStateIssuer
7305250MedicaidIA
36312OtherIAWELLMARK BC&BS IA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20040520000102 IA Practitioner - Family PracticePractitioner - General Practice 1850202151 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16625IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Knoxville Community Hospital Inc Family Medicine CurrentSince Jan 1, 2003 Accepting new patients
Knoxville Community Hospital Inc Current Accepting new patients

Locations

1202 W Howard St
Knoxville, IA 50138
Phone (641) 828-7144

1002 S Lincoln St
Knoxville, IA 50138
Phone (641) 842-1464

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1386651503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 S LINCOLN ST",
            "city": "KNOXVILLE",
            "state": "IA",
            "postal_code": "501383121",
            "telephone_number": "641-842-2151",
            "fax_number": "641-842-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 W HOWARD ST",
            "city": "KNOXVILLE",
            "state": "IA",
            "postal_code": "501383103",
            "telephone_number": "641-828-7211",
            "fax_number": "641-842-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEEVER",
        "first_name": "EARL",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "16625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7305250",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC&BS IA",
            "identifier": "36312",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, IA

Sources for this page

Verify at the official NPI Registry.