Organization Active NPI

William T Keweshan DO, PLLC.

  • Family Medicine Physician
  • Largo, FL
National Provider Identifier
1497979561
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS0003970 Issued in FL
Legal business name
WILLIAM T KEWESHAN DO, PLLC.
Practice address
12294 Indian Rocks Rd
Largo, FL 33774-3001
Phone
(727) 595-2534
Fax
(727) 595-5059
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Authorized official

Name
Dr. William Thomas Keweshan, DO
Title
Owner Physician
Phone
(727) 595-2534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS0003970 FL Primary

Addresses

Primary practice location

12294 Indian Rocks Rd
Largo, FL 33774-3001

Mailing address

12294 Indian Rocks Rd
Largo, FL 33774-3001
Phone (727) 595-2534

National Provider Directory

National Provider Directory

Locations

12294 Indian Rocks Rd
Largo, FL 33774
Phone (727) 595-2534

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1497979561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12294 INDIAN ROCKS RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337743001",
            "telephone_number": "727-595-2534",
            "fax_number": "727-595-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12294 INDIAN ROCKS RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337743001",
            "telephone_number": "727-595-2534",
            "fax_number": "727-595-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM T KEWESHAN DO, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "KEWESHAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "727-595-2534",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS0003970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.