Gregory R. Keese, M.D., P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

GREGORY R. KEESE, M.D., P.C.

Practice address

1107 W Ironwood Dr
Coeur D Alene, ID 83814-2604

Phone

(208) 667-7459

Fax

(208) 667-2631

NPI assigned

Sep 5, 2012

Organization subpart

No

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

Authorized official

Name

Patricia Ann Poole

Title

Bookkeeper

Phone

(208) 667-7459

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1740539725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 W IRONWOOD DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142604",
            "telephone_number": "208-667-7459",
            "fax_number": "208-667-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 W IRONWOOD DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142604",
            "telephone_number": "208-667-7459",
            "fax_number": "208-667-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY R. KEESE, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "208-667-7459"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PLEASE LINK TO INDIVIDUAL NPI #",
            "identifier": "1316137862",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740539725",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.