Dennis Keesal, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

R6496 Issued in MO

Practice address

83 Progress Pkwy
Maryland Heights, MO 63043-3701

Phone

(314) 434-8174

NPI assigned

Jul 26, 2006

Sex

Male

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Emergency Physicians of St. Luke'S, LLC

  • Emergency Medicine Physician
  • Chesterfield, MO
  • NPI 1215359815
  NPD (past)
• Physician Specialists of St Lukes LLC

  • Internal Medicine Physician
  • Chesterfield, MO
  • NPI 1235168410

  Emergency Medicine

  NPD (past)
• Inphynet Contracting Services LLC

  • Emergency Medicine Physician
  • Delray Beach, FL
  • NPI 1073556767
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321142400000",
    "number": "1790709558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16347 WILSON FARM DR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630054542",
            "telephone_number": "636-532-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 PROGRESS PKWY",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630433701",
            "telephone_number": "314-434-8174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEESAL",
        "first_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2011-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "R6496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00353235",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "R6496",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ME24072",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen A Judkins, PNP
• Rachael Lisa Juehring, PHD
• Claire Karlen, PHD
• George Katsiyiannis
• Jennifer E Kaufman, M.D.
• Kaisha Keith, LPC , LCPC
• Harriet Ann Keller, OTR
• Brian J. Kelly, M.D.
• Deborah Lynn Kern, LCSW
• Jessica Ann Kesterson, FNP-BC

• Emergency Medicine Physician in Maryland Heights, MO
• Providers in Maryland Heights, MO by specialty
• Emergency Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2011; 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.