Active NPI
Gregory E Keyes, MD
- Family Medicine Physician
- Bainbridge Island, WA
National Provider Identifier
1407956600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00019400
- Practice address
- 123 Bjune Drive SE
Suite 101
Bainbridge Island, WA 98110-2503 - Phone
- (206) 842-3222
- Fax
- (206) 842-1877
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00019400 | WA | Primary |
Addresses
Primary practice location
123 Bjune Drive SE
Suite 101
Bainbridge Island, WA 98110-2503
Mailing address
123 Bjune Dr SE
Suite 101
Bainbridge Island, WA 98110-2459
Phone (206) 842-3222
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0171166 | Other | WA | LABOR AND INDUSTRIES |
| 4813KE | Other | WA | REGENCE BLUE SHIELD |
| 1118314 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Member Plus Family Health PLLC | Family Medicine | Current | Accepting new patients |
Locations
123 Bjune Dr SE
Ste 101
Bainbridge Island, WA 98110
Phone (206) 842-3222
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Bainbridge Island, WA
- NPI 1447740998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277424000000",
"number": "1407956600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 BJUNE DR SE",
"address_2": "SUITE 101",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981102459",
"telephone_number": "206-842-3222",
"fax_number": "206-842-1877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 BJUNE DRIVE SE",
"address_2": "SUITE 101",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981102503",
"telephone_number": "206-842-3222",
"fax_number": "206-842-1877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEYES",
"first_name": "GREGORY",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2010-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00019400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "0171166",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "4813KE",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1118314",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bainbridge Island, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.