Individual provider Active NPI

Rosalie C Keith, DO

  • Anesthesiology Physician
  • Alfred, NY
National Provider Identifier
1851386742
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
171396 Issued in NY
Practice address
100 W University St
Alfred, NY 14802-1134
Phone
(607) 587-9208
Fax
(607) 587-9208
NPI assigned
Sep 16, 2005
Last updated
Feb 21, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 171396 NY Primary

Addresses

Primary practice location

100 W University St
Alfred, NY 14802-1134

Mailing address

100 W University St
Alfred, NY 14802-1134
Phone (607) 587-9208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041005000284 NY Practitioner - Anesthesiology 4688656895 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of New England, College of Osteo Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Griffiss Ec, LLCGroup PAC ID 8628249521, 14 clinicians

Practice addresses (Care Compare)

105 Dart Cir
Rome, NY 13441-4229
Phone (315) 533-5747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Anesthesia of New York, P.C. Anesthesiology CurrentSince Nov 28, 2017 Accepting new patients
Griffiss Ec, LLC Anesthesiology CurrentSince Dec 6, 2021 Accepting new patients
Lesly Germain MD PC CurrentSince Oct 16, 2014 Accepting new patients
Wyoming Urgent Care PLLC CurrentSince Oct 16, 2014 Accepting new patients

Locations

134 Homer Ave
Cortland, NY 13045
Phone (607) 756-3500

105 Dart Cir
Rome, NY 13441
Phone (315) 334-6918

1500 N James St
Rome, NY 13440
Phone (315) 338-7000

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

400 N Main St
Warsaw, NY 14569
Phone (585) 786-1555

76 N Main St
Warsaw, NY 14569
Phone (585) 786-0101

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1851386742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W UNIVERSITY ST",
            "city": "ALFRED",
            "state": "NY",
            "postal_code": "148021134",
            "telephone_number": "607-587-9208",
            "fax_number": "607-587-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W UNIVERSITY ST",
            "city": "ALFRED",
            "state": "NY",
            "postal_code": "148021134",
            "telephone_number": "607-587-9208",
            "fax_number": "607-587-9208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "ROSALIE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-16",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "171396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alfred, NY

Sources for this page

Verify at the official NPI Registry.