Rachael Keilin MD, PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

RACHAEL KEILIN MD, PA

Practice address

2717 Summerhill Rd
Texarkana, TX 75503-3957

Phone

(903) 794-0022

Fax

(903) 794-0023

NPI assigned

Oct 18, 2007

Organization subpart

No

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

Authorized official

Name

Susan Huggins

Title

Biller

Phone

(903) 667-7557

Specialties & licenses 1

Addresses

Other identifiers 6

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1740479401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 SUMMERHILL RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755033957",
            "telephone_number": "903-794-0022",
            "fax_number": "903-794-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 SUMMERHILL RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755033957",
            "telephone_number": "903-794-0022",
            "fax_number": "903-794-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHAEL KEILIN MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "HUGGINS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "903-667-7557"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100845210C",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0032QP",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175716301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0049MB",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155950002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "82479",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Psychiatric Services Roger House, M.D.
• Pulmonary & Internal Medicine of Texarkana
• Pulmonary Diseases Medicine Clinic
• Bayard Paul Quinn, MD
• Savannah K Quinn, MS. LPC, RPT, ICST
• Carol K Racheotes
• Radiology Consultants L L P
• Meko M Radomski, MD
• Rafael F Otero, PHD, Inc
• Poongodhai Ramachandran, MD

• Surgery Physician in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.