Keith R Mayfield, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

019452 Issued in LA

Practice address

1945 E 70TH St
Suite B
Shreveport, LA 71105-5347

Phone

(318) 797-1743

NPI assigned

Jan 16, 2006

Last updated

Nov 17, 2011By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Enrolled in LA, AR2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Iasis Glenwood Regional Medical Center LP

  • General Acute Care Hospital
  • West Monroe, LA
  • NPI 1487706214
  Medicare reassignment NPD
• Zephyr Anesthesia, LLC

  • Anesthesiology Physician
  • La Place, LA
  • NPI 1891087458
  Medicare reassignment NPD
• Orthomed Staffing LLC

  • Anesthesiology Physician
  • Addison, TX
  • NPI 1225514276

  LA

  Medicare reassignment NPD
• Iasis Glenwood Regional Medical Center LP

  • Rehabilitation Hospital Unit
  • West Monroe, LA
  • NPI 1003961038
  NPD

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1720067861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52448",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711352448",
            "telephone_number": "318-797-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 E 70TH ST",
            "address_2": "SUITE B",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055347",
            "telephone_number": "318-797-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYFIELD",
        "first_name": "KEITH",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "019452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1974188",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura C Mayeux, CRNA
• Mayfield-Bacon Auto Accident & Injury Clinic LLC (Mayfield Chiropractic Shreveport)
• Edward A Mayfield, CRNA
• Gregory J Mayfield, DC
• Janeicia Nicole Mayfield
• Kyle Andrew Mayfield, DC
• Marty M Mayfield, NP
• Tamiko Mayfield
• Tungua Lynn Mayfield, LCSW
• Eric Mayo

• Anesthesiology Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Anesthesiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.