Active NPI
James W Keith, DO
- Family Medicine Physician
- Owensville, MO
National Provider Identifier
1417022815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO33557
- Practice address
- 708 E Highway 28
Owensville, MO 65066-1588 - Phone
- (573) 437-4481
- Fax
- (573) 437-3232
- NPI assigned
- Nov 21, 2006
- Last updated
- Feb 8, 2012
- Sex
- Male
- Sole proprietor
- No
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 | DO33557 | MO | Primary |
Addresses
Primary practice location
708 E Highway 28
Owensville, MO 65066-1588
Mailing address
PO Box 19
Hermann, MO 65041-0019
Phone (573) 486-1193
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 240697748 | Medicaid | MO |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO33557 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hermann Area Hospital District | Past | Accepting new patients | |
| Hermann Area Hospital District | Past | Accepting new patients |
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.
-
dba Medical Clinic of Owensville
- Rural Health Clinic/Center
- Owensville, MO
- NPI 1235204702
-
dba Hermann Area District Hospital
- Medicare Defined Swing Bed Hospital Unit
- Hermann, MO
- NPI 1679648661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328659200000",
"number": "1417022815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19",
"city": "HERMANN",
"state": "MO",
"postal_code": "650410019",
"telephone_number": "573-486-1193",
"fax_number": "573-486-0910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 E HIGHWAY 28",
"city": "OWENSVILLE",
"state": "MO",
"postal_code": "650661588",
"telephone_number": "573-437-4481",
"fax_number": "573-437-3232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEITH",
"first_name": "JAMES",
"middle_name": "W",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2012-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "DO33557",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "240697748",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Owensville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.