Scott Keffer Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1615 Issued in WV

Legal business name

SCOTT KEFFER INC

Practice address

123 James River & Kanawha Turnpike East
Ansted, WV 25812-1401

Phone

(855) 250-3054

Fax

(304) 658-4690

NPI assigned

Feb 22, 2007

Organization subpart

Yes

Parent organization

SCOTT KEFFER INCAs reported in NPPES

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

Authorized official

Name

Scott Keffer, DO

Title

President

Phone

(304) 228-6809

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mountain Medical Associates Doing business as

Part of

Scott Keffer Inc

Locations

Practitioners 4

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

• Philip Todd Berry, DO

  • Family Medicine Physician
  • Scarbro, WV
  • NPI 1194943522

  Family Medicine

  NPD
• Shawna Lynn Adkins-Cox, FNP-BC

  • Family Nurse Practitioner
  • Ansted, WV
  • NPI 1902056328
  NPD (past)
• Janis Williams, DO

  • Emergency Medicine Physician
  • Welch, WV
  • NPI 1154367316
  NPD (past)
• Jennifer Dawn Hope, PMHNP-BC, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Coos Bay, OR
  • NPI 1518133487
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1831224740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX A",
            "city": "ANSTED",
            "state": "WV",
            "postal_code": "258121401",
            "telephone_number": "855-250-3054",
            "fax_number": "304-658-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 JAMES RIVER & KANAWHA TURNPIKE EAST",
            "city": "ANSTED",
            "state": "WV",
            "postal_code": "258121401",
            "telephone_number": "855-250-3054",
            "fax_number": "304-658-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT KEFFER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCOTT KEFFER INC",
        "enumeration_date": "2007-02-22",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "KEFFER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-228-6809",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "1615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810018985",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan McCoy, LCSW
• Katherine Alice McGuire
• William Nichols
• Jacklyn Nuckols
• Kiley Michelle Price, COTA
• Malia Self
• Devon Steele
• Shawn Edward Strickland, DMSC, MPAS, PA
• Summersville Outpatient Center
• Summersville Pediatrics, Inc.

• All providers in Ansted, WV
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.