Keith J Newell, MD – Family Medicine Physician

Key facts

NPI: 1780698142
Entity type: Individual (NPI type 1)
Primary specialty: Family Medicine Physician 207Q00000X
License: 4301040919 (MI)
Practice address: 1019 Campus Drive
Student Health Center
Big Rapids, MI 49307
Phone: (231) 591-2614
Fax: (231) 591-5970
NPI assigned: Jul 28, 2006
Sex: Male
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician	207Q00000X	4301040919	MI	Yes

Addresses

Primary practice location

1019 Campus Drive
Student Health Center
Big Rapids, MI 49307

Mailing address

1019 Campus Drive
Student Health Center
Big Rapids, MI 49307
Phone (231) 591-2614

Other identifiers

Identifier	Type	State	Issuer
OE46000	Other		BLUE CROSS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780698142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 CAMPUS DRIVE",
            "address_2": "STUDENT HEALTH CENTER",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "49307",
            "telephone_number": "231-591-2614",
            "fax_number": "231-591-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 CAMPUS DRIVE",
            "address_2": "STUDENT HEALTH CENTER",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "49307",
            "telephone_number": "231-591-2614",
            "fax_number": "231-591-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWELL",
        "first_name": "KEITH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301040919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "OE46000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Rapids, MI

James Nelson
Kyle Nelson
Bryan Edwards Nevins, D.D.S
Jeanniene Sharen Nevins, D.D.S
New Beginnings Mental Health Services, LLC
John W Nickisson, LMSW, CAADC
Frederick Matthew Nista, OD
McKenna Jo Nivison, LMSW
Northwest Chiropractic and Sports Medicine PLLC
Northwest Counseling and Wellness, PLLC

All providers in Big Rapids, MI · Family Medicine Physician in Michigan

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.