Angela Keon MD LLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

ANGELA KEON MD LLC

Practice address

100 Madrid Blvd Unit 311
Punta Gorda, FL 33950-7906

Phone

(941) 205-8755

Fax

(941) 205-8762

NPI assigned

Jan 22, 2024

Organization subpart

No

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

Authorized official

Name

Angela Keon, MDNPI 1891906368

Title

MD /Owner

Phone

(941) 205-8755

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Keon, MD

  • Family Medicine Physician
  • Punta Gorda, FL
  • NPI 1891906368

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1629839147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MADRID BLVD UNIT 311",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339507906",
            "telephone_number": "941-205-8755",
            "fax_number": "941-205-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MADRID BLVD UNIT 311",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339507906",
            "telephone_number": "941-205-8755",
            "fax_number": "941-205-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA KEON MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "KEON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "MD /OWNER",
        "authorized_official_telephone_number": "941-205-8755",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Fabiola Anglade-Pascal, ARNP
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• Michelle Lea Antanovich, CRNP PMHNP
• Rae Ann Antonucci, P.A.
• Shawn Escar Arkon, APRN

• Adult Medicine Physician in Punta Gorda, FL
• Providers in Punta Gorda, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.