Individual provider Active NPI

Caleb Thomas Keese, PA-C

  • Medical Physician Assistant
  • Searcy, AR
National Provider Identifier
1730744897
Registry record updated May 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PT2019-024 Issued in AR
Practice address
711 Santa Fe Dr
Searcy, AR 72143-6964
Phone
(501) 279-9393
Fax
(501) 305-4971
NPI assigned
May 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PT2019-024 AR Primary

Addresses

Primary practice location

711 Santa Fe Dr
Searcy, AR 72143-6964

Mailing address

2900 Hawkins Dr
Searcy, AR 72143-4802
Phone (501) 278-8346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190611003078 AR Practitioner - Physician Assistant 1850624594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
White County Medical CenterGroup PAC ID 4880688654, 182 clinicians

Practice addresses (Care Compare)

1911 N 2ND St
Cabot, AR 72023-2209
Phone (501) 843-5757

3214 E Race Ave
Searcy, AR 72143-4810

711 Santa Fe Dr
Searcy, AR 72143-6964
Phone (501) 279-9393

Hospital & facility affiliations

  • White County Medical Center Hospital, Searcy, AR, CCN 040014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PT2019-024ARMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
White County Medical Center CurrentSince May 17, 2019 Accepting new patients
White County Medical Center CurrentSince May 17, 2019 Accepting new patients
White County Medical Center Past Accepting new patients

Locations

711 Santa Fe Dr
Searcy, AR 72143
Phone (501) 279-9393

2900 Hawkins Dr
Searcy, AR 72143
Phone (501) 278-2800

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1556928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558137600000",
    "number": "1730744897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 HAWKINS DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434802",
            "telephone_number": "501-278-8346",
            "fax_number": "501-278-8395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 SANTA FE DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721436964",
            "telephone_number": "501-279-9393",
            "fax_number": "501-305-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEESE",
        "first_name": "CALEB",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-04",
        "last_updated": "2019-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AR",
            "license": "PT2019-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

Verify at the official NPI Registry.