Suzanne M Keddie, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

0101058893 Issued in VA

Practice address

202 Maplewood Ave
Ronceverte, WV 24970-1330

Phone

(304) 647-4411

NPI assigned

Apr 27, 2006

Sex

Female

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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• BJSM Med Inc

  • Emergency Medicine Physician
  • Ronceverte, WV
  • NPI 1326037011
  NPD (past)
• Greenbrier Valley Emergency Physicians LLC

  • Emergency Medicine Physician
  • Ronceverte, WV
  • NPI 1760676407
  NPD (past)
• Carolina Anesthesiology, PA

  • Anesthesiology Physician
  • High Point, NC
  • NPI 1629032347
  NPD (past)
• University of Virginia Physicians Group

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Charlottesville, VA
  • NPI 1033138250
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1750348298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 MAPLEWOOD AVE",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249701330",
            "telephone_number": "304-647-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 MAPLEWOOD AVE",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249701330",
            "telephone_number": "304-647-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEDDIE",
        "first_name": "SUZANNE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101058893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "451751",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005707731",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "050073974",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5700559000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bailee Judy, AGPCNP
• Stephanie Judy, CRNA
• Lynda Karpick, CRNA
• Andrea Catherine Karrs, MPT
• Thomas M Karrs, MD
• Jane E Kelley Tallman, DO
• Ida King
• Okey King III
• Roselyne Knopf, M.D.
• Thomas S Kowalkowski, MD

• Anesthesiology Physician in Ronceverte, WV
• Providers in Ronceverte, WV by specialty
• Anesthesiology Physician in West Virginia

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