Active NPI
Michael L Keil DO PC
- Ophthalmology Physician
- Grand Rapids, MI
National Provider Identifier
1851308043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- MICHAEL L KEIL DO PC
- Practice address
- 2757 Leonard St NE
Suite 300
Grand Rapids, MI 49525-5807 - Phone
- (616) 942-9424
- Fax
- (616) 942-9797
- NPI assigned
- Aug 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Louis Keil, D.O.
- Title
- Owner/President
- Phone
- (616) 942-9424
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
2757 Leonard St NE
Suite 300
Grand Rapids, MI 49525-5807
Mailing address
PO Box 3140
Grand Rapids, MI 49501-3140
Phone (616) 942-9424
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228780800000",
"number": "1851308043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3140",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495013140",
"telephone_number": "616-942-9424",
"fax_number": "616-942-9797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2757 LEONARD ST NE",
"address_2": "SUITE 300",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495255807",
"telephone_number": "616-942-9424",
"fax_number": "616-942-9797"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL L KEIL DO PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-01",
"last_updated": "2008-12-09",
"status": "A",
"authorized_official_last_name": "KEIL",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "LOUIS",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "616-942-9424",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.