Optimized Living Centers, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2002008827 Issued in MO

Legal business name

OPTIMIZED LIVING CENTERS, PC

Practice address

1417 N Mount Auburn Rd
Cape Girardeau, MO 63701-2171

Phone

(573) 334-6053

Fax

(573) 334-7855

NPI assigned

Apr 20, 2011

Last updated

Apr 20, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anthony J Keele, M.D.NPI 1467589663

Title

Owner

Phone

(573) 334-6053

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anthony J Keele, MD

  • Family Medicine Physician
  • Cape Girardeau, MO
  • NPI 1467589663
  Authorized official Same address or phone

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1629369038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 N MOUNT AUBURN RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637012171",
            "telephone_number": "573-334-6053",
            "fax_number": "573-334-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 N MOUNT AUBURN RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637012171",
            "telephone_number": "573-334-6053",
            "fax_number": "573-334-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMIZED LIVING CENTERS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "KEELE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-334-6053",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2002008827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary S. Olson, M.D.
• One Accord Counseling LLC
• Soraya Ong, M.D.
• Afamefuna A Onuora, MD
• Optima Outpatient Physical Therapy, Consulting LLC
• Ortheco LLC
• Orthopaedic Associates of Southeast Missouri, P.C. (Advanced Orthopedic Specialists)
• Silas Osiohwo
• Carl Eric Oslund, CRNA
• April Ostendorf-Morris, MSN, ACNS-BC, RN

• Family Medicine Physician in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.

Verify at the official NPI Registry.