Individual provider Active NPI

Lisa F Keicher, MD

  • Pediatrics Physician
  • Oneida, NY
National Provider Identifier
1457466252
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
203709 Issued in NY
Practice address
1145 Glenwood Ave
Oneida, NY 13421-7111
Phone
(315) 363-4070
Fax
(315) 363-8768
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 203709 NY Primary

Addresses

Primary practice location

1145 Glenwood Ave
Oneida, NY 13421-7111

Mailing address

1145 Glenwood Ave
Oneida, NY 13421-7111
Phone (315) 363-4070

Other identifiers 1

IdentifierTypeStateIssuer
01667981MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
State University of New York at Buffalo School of Medicine, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

300 W Ave
Brockport, NY 14420-1118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
203709NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Child Health Associates of Madison Co. MD PC Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lisa.keicher.1@3196.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457466252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 GLENWOOD AVE",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134217111",
            "telephone_number": "315-363-4070",
            "fax_number": "315-363-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 GLENWOOD AVE",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134217111",
            "telephone_number": "315-363-4070",
            "fax_number": "315-363-8768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEICHER",
        "first_name": "LISA",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "203709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01667981",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneida, NY

Sources for this page

Verify at the official NPI Registry.