Active NPI
Candice R. McKeen, PA-C
- Physician Assistant
- Cincinnati, OH
National Provider Identifier
1497709786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50002135
- Practice address
- 7502 State Rd
Mob II Ste. 2210
Cincinnati, OH 45255-2596 - Phone
- (513) 751-4222
- Fax
- (513) 751-4353
- NPI assigned
- May 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50002135 | OH | Primary |
Addresses
Primary practice location
7502 State Rd
Mob II Ste. 2210
Cincinnati, OH 45255-2596
Mailing address
7502 State Rd
Mob II Ste. 2210
Cincinnati, OH 45255-2596
Phone (513) 751-4222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50002135 | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Kenwood Hospitalists of Cincinnati, Inc | Past | Accepting new patients |
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.
-
- Hospitalist Physician
- Cincinnati, OH
- NPI 1710282124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323648000000",
"number": "1497709786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7502 STATE RD",
"address_2": "MOB II STE. 2210",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452552596",
"telephone_number": "513-751-4222",
"fax_number": "513-751-4353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7502 STATE RD",
"address_2": "MOB II STE. 2210",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452552596",
"telephone_number": "513-751-4222",
"fax_number": "513-751-4353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKEEN",
"first_name": "CANDICE",
"middle_name": "R.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2011-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50002135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.