Keith C McKenzie MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KEITH C MCKENZIE MD PLLC

Doing business as

The Family Doctor

Practice address

15501 Metropolitan Pkwy
Suite 110
Clinton TWP, MI 48036-1684

Phone

(586) 286-9720

Fax

(586) 286-3134

NPI assigned

Oct 5, 2007

Organization subpart

No

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

Authorized official

Name

Tina Williams

Title

Office Manager

Phone

(586) 286-9720

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• The Family Doctor Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith Creswell McKenzie, M.D.

  • Family Medicine Physician
  • Clinton TWP, MI
  • NPI 1801830757
  Medicare reassignment Care Compare group NPD
• Claudia Monica Pop, M.D.

  • Family Medicine Physician
  • Clinton TWP, MI
  • NPI 1861597858
  Medicare reassignment Care Compare group NPD
• Charlene Bailey, P.A. C.

  • Medical Physician Assistant
  • Clinton TWP, MI
  • NPI 1801975420
  Medicare reassignment Care Compare group
• Ryan McClain

  • Physician Assistant
  • Flushing, MI
  • NPI 1912336306
  Medicare reassignment Care Compare group
• Theresa Lynne Labranche, M.S. PA C

  • Medical Physician Assistant
  • Rochester, MI
  • NPI 1154438745
  NPD (past)

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1801084629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15501 METROPOLITAN PKWY",
            "address_2": "SUITE 110",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480361684",
            "telephone_number": "586-286-9720",
            "fax_number": "586-286-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15501 METROPOLITAN PKWY",
            "address_2": "SUITE 110",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480361684",
            "telephone_number": "586-286-9720",
            "fax_number": "586-286-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH C MCKENZIE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "586-286-9720"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301067883",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601002587",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0E02201",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Family Doctor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony E Kasper, DDS
• Michelle Mary Kasperowicz, LLBSW
• Piotr G Kasprzyk, PT
• Kathleen Abate DDS PLLC
• James L Kehoe IV, D.O.
• Laura Lynne Kelahan, MPT
• Rachel Lynn Keller
• Michael J Kenneson, D.O.
• Linda Joye Kern, MSW
• Howard B Kerwin, DO

• Family Medicine Physician in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.