Active NPI
Keys Cardiology PA
- Cardiovascular Disease Physician
- Lehigh Acres, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- OS4428
- Legal business name
- KEYS CARDIOLOGY PA
- Practice address
- 391 Lee Blvd
Suite 300
Lehigh Acres, FL 33936-4973 - Phone
- (239) 369-4088
- Fax
- (239) 369-0588
- NPI assigned
- Sep 16, 2006
- Last updated
- Jan 28, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William W Richardson, DO
- Title
- Owner/President
- Phone
- (239) 369-4088
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | OS4428 | FL | Primary |
Addresses
Primary practice location
391 Lee Blvd
Suite 300
Lehigh Acres, FL 33936-4973
Mailing address
PO Box 220
Lehigh Acres, FL 33970-0220
Phone (239) 369-4088
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 374798100 | Medicaid | FL | |
| 82480 | Other | FL | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
103400 Overseas Hwy
Ste 209
Key Largo, FL 33037
Phone (305) 453-4655
501 S Main St
Labelle, FL 33935
Phone (239) 369-4088
260 Beth Stacey Blvd
#106
Lehigh Acres, FL 33936
Phone (239) 369-4088
260 Beth Stacey Blvd
Ste 106
Lehigh Acres, FL 33936
Phone (239) 368-4088
Practitioners & affiliated clinicians
Practitioners 17
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Cardiovascular Disease Physician
- Lehigh Acres, FL
- NPI 1649231424
-
- Family Nurse Practitioner
- Naples, FL
- NPI 1386360535
-
- Cardiovascular Disease Physician
- Englewood, FL
- NPI 1316938723
-
- Cardiovascular Disease Physician
- Ocala, FL
- NPI 1033145487
-
- Family Nurse Practitioner
- Fort Myers, FL
- NPI 1982041695
-
- Psychiatric/Mental Health Nurse Practitioner
- Fort Myers, FL
- NPI 1588195754
-
- Physician Assistant
- Fort Myers, FL
- NPI 1003288754
-
- Medical Physician Assistant
- Fort Myers, FL
- NPI 1821272774
-
- Physician Assistant
- Lehigh Acres, FL
- NPI 1083198659
-
- Physician Assistant
- Lehigh Acres, FL
- NPI 1164748042
-
- Interventional Cardiology Physician
- Venice, FL
- NPI 1730436817
-
- Family Nurse Practitioner
- High Springs, FL
- NPI 1881685758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422403200000",
"number": "1386740033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 220",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339700220",
"telephone_number": "239-369-4088",
"fax_number": "239-369-0588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "391 LEE BLVD",
"address_2": "SUITE 300",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339364973",
"telephone_number": "239-369-4088",
"fax_number": "239-369-0588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEYS CARDIOLOGY PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-16",
"last_updated": "2015-01-28",
"status": "A",
"authorized_official_last_name": "RICHARDSON",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "239-369-4088",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "OS4428",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "374798100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "82480",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lehigh Acres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.