Keyamed, Inc a P C

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

KEYAMED, INC A P C

Doing business as

DBA New Era Family Practice

Practice address

126 S Coronado Dr Ste B
Sierra Vista, AZ 85635-6300

Phone

(520) 439-0115

Fax

(520) 458-3016

NPI assigned

May 6, 2009

Organization subpart

Yes

Parent organization

KEYAMED INC A P CAs reported in NPPES

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

Authorized official

Name

Parag R Patel, MDNPI 1215121512

Title

Director

Phone

(909) 362-4958

Specialties & licenses 1

Addresses

Other names 1

• DBA New Era Family Practice Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Part of

Keyamed Inc a P C

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Parag Rasik Patel, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Sierra Vista, AZ
  • NPI 1215121512
  Medicare reassignment Care Compare group NPD Authorized official
• Gregory Etienne, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Sierra Vista, AZ
  • NPI 1669180915
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630713600000",
    "number": "1417181348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2186",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856362186",
            "telephone_number": "520-439-0115",
            "fax_number": "520-458-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 S CORONADO DR STE B",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856356300",
            "telephone_number": "520-439-0115",
            "fax_number": "520-458-3016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "198 S Coronado Drive",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Sierra Vista",
            "state": "AZ",
            "postal_code": "85635",
            "country_code": "US",
            "telephone_number": "520-439-0115",
            "fax_number": "520-458-3016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KEYAMED, INC A P C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KEYAMED INC A P C",
        "enumeration_date": "2009-05-06",
        "last_updated": "2021-09-04",
        "certification_date": "2021-09-04",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PARAG",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "909-362-4958",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA New Era Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DBA New Era Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Victor Kelly III, PT, DPT
• Derek Jerred Kent, COTA/L
• Jacqueline Kay Kenyon, M.S. CCC-SLP
• Katherine M Kerley, MC, LPC
• Kerstin P. Hurley, PHD
• Abdul Rahman Rizwan Ahmed Khan, MD
• Habiba Yaqub Khan, MD
• Hashim Khan, DO
• Saad Khanzada, DO
• Theresa J Kibler, RDH

• Geriatric Medicine (Family Medicine) Physician in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Geriatric Medicine (Family Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2021; 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.

Verify at the official NPI Registry.