Organization Active NPI

Keays Medical Group, PS

  • Adult Mental Health Clinic/Center
  • Tacoma, WA
National Provider Identifier
1700277548
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
KEAYS MEDICAL GROUP, PS
Practice address
4961 Main St Ste a
Tacoma, WA 98407-2936
Phone
(253) 779-5858
Fax
(253) 779-5757
NPI assigned
Feb 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Authorized official

Name
Dr. Ashley C Keays, D.O.
Title
President
Phone
(253) 779-5858

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204D00000X OP000002141 WA
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

4961 Main St Ste a
Tacoma, WA 98407-2936

Mailing address

4961 Main St Ste a
Tacoma, WA 98407-2936
Phone (253) 779-5858

Other names 1

  • Bayview Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

4961 Main St
Tacoma, WA 98407

4961 Main St
Ste A
Tacoma, WA 98407
Phone (253) 779-5858

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22618/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1700277548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4961 MAIN ST STE A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984072936",
            "telephone_number": "253-779-5858",
            "fax_number": "253-779-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4961 MAIN ST STE A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984072936",
            "telephone_number": "253-779-5858",
            "fax_number": "253-779-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEAYS MEDICAL GROUP, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-16",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "KEAYS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-779-5858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "WA",
            "license": "OP000002141",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayview Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bayview Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.