Individual provider Active NPI

Stephen Daniel Keith Jr., M.D.

  • Obstetrics & Gynecology Physician
  • Florence, AL
National Provider Identifier
1609962117
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
21441 Issued in AL
Practice address
1751 Veterans Dr Ste 205
Florence, AL 35630-4929
Phone
(256) 766-2600
Fax
(256) 768-8658
NPI assigned
Oct 4, 2006
Last updated
Mar 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 21441 AL Primary

Addresses

Primary practice location

1751 Veterans Dr Ste 205
Florence, AL 35630-4929

Mailing address

541 W College St Ste 2600
Florence, AL 35630-5365
Phone (256) 766-2600

Other identifiers 5

IdentifierTypeStateIssuer
009941498MedicaidAL
51004809OtherALBCBS AL
51538967OtherALBCBS AL
009941499MedicaidAL
051559121OtherALMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070814000684 AL Practitioner - Obstetrics/Gynecology 5698866051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Alabama School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shoals Obstetrics and Gynecology, LLCGroup PAC ID 6103055603, 3 clinicians

Practice addresses (Care Compare)

1751 Veterans Dr
Suite 205a
Florence, AL 35630-4930
Phone (256) 766-2600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21441ALMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shoals Obstetrics and Gynecology LLC Obstetrics & Gynecology CurrentSince Oct 5, 2013 Accepting new patients
Aldridge & Keith, P.C. Obstetrics & Gynecology PastSince Mar 1, 2007 Accepting new patients
RCHP - Florence LLC Past Accepting new patients
Peter J Jensen MD PC Past Accepting new patients
RCHP - Florence LLC Past Accepting new patients

Locations

1751 Veterans Dr
Ste 205
Florence, AL 35630
Phone (256) 766-2600

1751 Veterans Dr
Ste 205A
Florence, AL 35630
Phone (256) 766-2600

541 W College St
Ste 2600
Florence, AL 35630
Phone (256) 381-9955

Interoperability endpoints

  • Direct secure messaging: stephen.keith.1@32732.direct.athenahealth.com
  • Direct secure messaging: stephen.keith.1@6269.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1609962117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 W COLLEGE ST STE 2600",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305365",
            "telephone_number": "256-766-2600",
            "fax_number": "256-383-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 VETERANS DR STE 205",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356304929",
            "telephone_number": "256-766-2600",
            "fax_number": "256-768-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "STEPHEN",
        "middle_name": "DANIEL",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "21441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009941498",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL",
            "identifier": "51004809",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL",
            "identifier": "51538967",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009941499",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "051559121",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.