Keith A Kattner, D.O.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Practice address

1015 S Mercer Ave
Bloomington, IL 61701-7107

Phone

(309) 662-7500

Fax

(309) 662-7333

NPI assigned

Jul 3, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Bloomington Rehabilitation Associates, LLC

  • Physical Medicine & Rehabilitation Physician
  • Bloomington, IL
  • NPI 1619994431
  NPD (past)
• Central Illinois Neuro Health Sciences, LTD..

  • Neurological Surgery Physician
  • Bloomington, IL
  • NPI 1649203886
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457381063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 S MERCER AVE",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617017107",
            "telephone_number": "309-662-7500",
            "fax_number": "309-662-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S MERCER AVE",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617017107",
            "telephone_number": "309-662-7500",
            "fax_number": "309-662-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATTNER",
        "first_name": "KEITH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kishore M Karamchandani, M.D.
• Marsha Lynn Karhoff-Burnett, M.S.,CCC/SLP
• Kelly Karr
• Nezar Ahmed Kassem, D.D.S.
• Jaz McKenzie Kates, COTA
• Madelyn K Kaufman
• Theresa Kauth
• William Allen Kauth, ED.D. , ATC, CSCS
• Ashley Nicole Keck, MS, LAT, ATC
• Keelan Dennis MFT

• Neurological Surgery Physician in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Neurological Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.