Mark H Keep, MD

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

License

65316 Issued in AZ

Practice address

3320 N 3Rd Ave
Phoenix, AZ 85013-4304

Phone

(480) 588-3165

Fax

(480) 588-3169

NPI assigned

Nov 28, 2005

Last updated

Sep 13, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Motivational Medicine

  • Substance Use Disorder Rehabilitation Clinic/Center
  • American Fork, UT
  • NPI 1225681166
  Authorized official Same address or phone
• Axxis Wellness LLC

  dba Axxis Wellness

  • Primary Care Clinic/Center
  • Sandy, UT
  • NPI 1790414639
  NPD
• American Heart and Vascular Institute PC

  • Interventional Cardiology Physician
  • Murray, UT
  • NPI 1396390316
  NPD (past)
• Heart and Lung Institute of Utah Inc

  • Cardiovascular Disease Physician
  • Murray, UT
  • NPI 1013954411
  NPD (past)

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1609859297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 E MAYOR PLACE DR",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840038015",
            "telephone_number": "801-699-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 N 3RD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134304",
            "telephone_number": "480-588-3165",
            "fax_number": "480-588-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEP",
        "first_name": "MARK",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "UT",
            "license": "181682-1205",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "UT",
            "license": "1816821205",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "AZ",
            "license": "65316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Keene, PMHNP
• Michael Keenen, MSW
• Mary Elizabeth Keeney, CCC-SLP
• Keep Empowering Yourself (K.E.Y) PLLC
• Keep Rising Therapy LLC
• Keepsake Therapy
• Michael A Keer, M.D.
• Nadine E. Keer, M.D.
• Svadharma Keerthi
• Daniel Alan Keesler, MD

• Addiction Medicine (Internal Medicine) Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Addiction Medicine (Internal Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.