Active NPI
Paul J Keane DPM
- Primary Podiatric Medicine Podiatrist
- Monroe, NC
National Provider Identifier
1437316361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- Legal business name
- PAUL J KEANE DPM
- Practice address
- 506 S Sutherland Ave
Monroe, NC 28112-5061 - Phone
- (704) 289-3338
- Fax
- (704) 283-1597
- NPI assigned
- May 19, 2008
- 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
- Margaret Pressley
- Title
- Office Manager
- Phone
- (704) 289-3338
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | Primary |
Addresses
Primary practice location
506 S Sutherland Ave
Monroe, NC 28112-5061
Mailing address
506 S Sutherland Ave
Monroe, NC 28112-5061
Phone (704) 289-3338
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8908153 | Medicaid | NC | |
| P00102841 | Other | MEDICARE RR | |
| 08153 | Other | BCBS | |
| 2700114 | Other | EVERCARE |
National Provider Directory
National Provider Directory- Tax ID family
- Dr Paul J Keane
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Podiatrist
- Monroe, NC
- NPI 1558813410
Locations
506 S Sutherland Ave
Monroe, NC 28112
Phone (704) 289-3338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1256774400000",
"number": "1437316361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 S SUTHERLAND AVE",
"city": "MONROE",
"state": "NC",
"postal_code": "281125061",
"telephone_number": "704-289-3338",
"fax_number": "704-283-1597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 S SUTHERLAND AVE",
"city": "MONROE",
"state": "NC",
"postal_code": "281125061",
"telephone_number": "704-289-3338",
"fax_number": "704-283-1597"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL J KEANE DPM",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-19",
"last_updated": "2009-10-29",
"status": "A",
"authorized_official_last_name": "PRESSLEY",
"authorized_official_first_name": "MARGARET",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "704-289-3338"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8908153",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P00102841",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "08153",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "2700114",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Monroe, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.