Active NPI
Keays Medical Group, PS
- Adult Mental Health Clinic/Center
- Tacoma, WA
National Provider Identifier
1700277548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | OP000002141 | WA | |
| Public Health & General Preventive Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
4961 Main St
Tacoma, WA 98407
4961 Main St
Ste A
Tacoma, WA 98407
Phone (253) 779-5858
Interoperability endpoints
- 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.