Keith Robertson Hester, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA 2246 Issued in FL

Practice address

1 W Park Ave
Eustis, FL 32726-2947

Phone

(352) 357-4629

Fax

(352) 357-9367

NPI assigned

Apr 12, 2006

Last updated

Jul 23, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in FL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Care on Eustis Square PAGroup PAC ID 0042316028, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Home Health Home health agency, Leesburg, FL, CCN 107155
• Adventhealth Waterman Hospital, Tavares, FL, CCN 100057

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Family Care on Eustis Square PA

  • Medical Physician Assistant
  • Eustis, FL
  • NPI 1659473833
  Medicare reassignment Care Compare group Authorized official
• Lake Women for Women OB/GYN,LLC

  • Obstetrics & Gynecology Physician
  • Eustis, FL
  • NPI 1043585169
  NPD (past)
• Lifestream Behavioral Center Inc

  • Primary Care Clinic/Center
  • Leesburg, FL
  • NPI 1659613776
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventhealth Home Health and Hospice Inc

  dba Adventhealth Home Health

  • Home Health Agency
  • Leesburg, FL
  • NPI 1023045853
  Care Compare affiliation
• Florida Hospital Waterman Inc

  dba AdventHealth Waterman

  • General Acute Care Hospital
  • Tavares, FL
  • NPI 1821019571
  Care Compare affiliation

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248307200000",
    "number": "1447214952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W PARK AVE",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327262947",
            "telephone_number": "352-357-4629",
            "fax_number": "352-357-9367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W PARK AVE",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327262947",
            "telephone_number": "352-357-4629",
            "fax_number": "352-357-9367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESTER",
        "first_name": "KEITH",
        "middle_name": "ROBERTSON",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2009-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA 2246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290675900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "E2448Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Mills Helman, OD
• Ikeshia K Herbert
• Sarah Elizabeth Hernandez
• Lewis Jackson Herzbrun, M.D.
• Miratiqullah Hessami, MD
• Tanya Renee Hileman, RBT
• Dwight W Hines Jr.
• Kimberly Ann Hinman, ARNP
• Tina Ho, LMHC
• Holiday CVS LLC (CVS Pharmacy# 08937)

• Medical Physician Assistant in Eustis, FL
• Providers in Eustis, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.