Organization Active NPI

Keystone Emergency Medical Services of TX

  • Emergency Medicine Physician
  • Memphis, TN
National Provider Identifier
1649646324
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
KEYSTONE EMERGENCY MEDICAL SERVICES OF TX
Practice address
6075 Poplar Ave
Suite 401
Memphis, TN 38119-0114
Phone
(901) 795-3600
NPI assigned
Aug 17, 2015
Last updated
Aug 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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

Authorized official

Name
Theophilus Okeke, MD
Title
President
Phone
(800) 669-2640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

6075 Poplar Ave
Suite 401
Memphis, TN 38119-0114

Mailing address

1201 W Swann Ave
Tampa, FL 33606-2639

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1649646324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W SWANN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6075 POPLAR AVE",
            "address_2": "SUITE 401",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190114",
            "telephone_number": "901-795-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE EMERGENCY MEDICAL SERVICES OF TX",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "OKEKE",
        "authorized_official_first_name": "THEOPHILUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-669-2640",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.