John Joseph Keefe, MD.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

13265 Issued in WV

Practice address

116 Brown Ave
Kingwood, WV 26537-1402

Phone

(304) 329-3932

NPI assigned

Aug 5, 2006

Last updated

Jan 24, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1396754594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BROWN AVE",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265371402",
            "telephone_number": "304-320-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 BROWN AVE",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265371402",
            "telephone_number": "304-329-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEFE",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "WV",
            "license": "13265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00057255000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "13265",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Darlene Huffman
• Jaclyn Nicole Johnson, D.D.S.
• Nancy Louise Jones, PAC CWS
• Ashley E Jose, DPT
• Kamp Central Ambulance Service, Inc. (KAMP Ambulance)
• Julia Lynn Keller
• Jason Lee Kelly
• Shalene Elizabeth Kerere, RN,BSN
• Kingwood Center LLC (PineRidge)
• Kingwood Family Care, LLC

• Adult Medicine Physician in Kingwood, WV
• Providers in Kingwood, WV by specialty
• Adult Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.