Keter Elite LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KETER ELITE LLC

Practice address

1813 Truscott LN
Allen, TX 75013-5425

Phone

(405) 317-3476

NPI assigned

Sep 19, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Yi Xiong, DONPI 1538513866

Title

Supervising Physician

Phone

(405) 317-3476

Specialties & licenses 2

Addresses

Practitioners 1

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

• Yi Xiong

  • Internal Medicine Physician
  • Plano, TX
  • NPI 1538513866
  NPD Authorized official

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

{
    "created_epoch": "1632009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1689344830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 TRUSCOTT LN",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135425",
            "telephone_number": "405-317-3476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 TRUSCOTT LN",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135425",
            "telephone_number": "405-317-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETER ELITE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-19",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "XIONG",
        "authorized_official_first_name": "YI",
        "authorized_official_title_or_position": "SUPERVISING PHYSICIAN",
        "authorized_official_telephone_number": "405-317-3476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Kent, P.T.
• Lynn Kernan, PT
• Emily R Kerrigan, PA-C
• Gayatri Kesavamurthy
• Katherine Kester, MD
• Nooreen Khalid, OTR/L
• Hajra Khan
• Heena Khan, MA, NCC, LPC
• Jari Ullah Khan, M.D.
• Neelam Riaz Khan, MD

• Internal Medicine Physician in Allen, TX
• Providers in Allen, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.