Mark John McKeon, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH3897 Issued in FL

Practice address

2433 State Road 60 E
Lake Wales, FL 33898-5122

Phone

(863) 676-2717

Fax

(863) 676-3390

NPI assigned

Jun 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ricardo Navarro D.O., P.a.

  • Internal Medicine Physician
  • Lake Wales, FL
  • NPI 1760947857
  NPD

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1649216714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2433 STATE ROAD 60 E",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338985122",
            "telephone_number": "863-676-2717",
            "fax_number": "863-676-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2433 STATE ROAD 60 E",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338985122",
            "telephone_number": "863-676-2717",
            "fax_number": "863-676-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEON",
        "first_name": "MARK",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH3897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050906000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN CHIROPRACTIC NET",
            "identifier": "629176",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane McCray-Brown, OTA/L
• Diane Michelle McCrummen, LMT
• Katherine McDonald, LMHC
• David Francis McDowall, D.D.S.
• McKeon Chiropractic Clinic PA
• Thomas Daniel McKeon Jr., D.C.
• Twascha Rena McKnight
• Marilyn McNeil, LPN
• Medical Associates of Central Florida
• Medical Associates of Central Florida Physicians, LLC

• Chiropractor in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.