Organization Active NPI

G. Keith Christy, M.D., Apmc

  • Otolaryngology Physician
  • Bossier City, LA
National Provider Identifier
1851554885
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
016819 Issued in LA
Legal business name
G. KEITH CHRISTY, M.D., APMC
Practice address
2400 Hospital Dr Ste 260
Bossier City, LA 71111-2390
Phone
(318) 747-4988
Fax
(318) 747-1185
NPI assigned
Jul 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Mrs. Debbie S. Shields
Title
Office Manager
Phone
(318) 747-4988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 016819 LA Primary

Addresses

Primary practice location

2400 Hospital Dr Ste 260
Bossier City, LA 71111-2390

Mailing address

2400 Hospital Dr Ste 260
Bossier City, LA 71111-2390
Phone (318) 747-4988

Other identifiers 1

IdentifierTypeStateIssuer
1354481MedicaidLA

National Provider Directory

National Provider Directory

Locations

2400 Hospital Dr
Ste 260
Bossier City, LA 71111
Phone (318) 747-4988

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1851554885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 HOSPITAL DR STE 260",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112390",
            "telephone_number": "318-747-4988",
            "fax_number": "318-747-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HOSPITAL DR STE 260",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112390",
            "telephone_number": "318-747-4988",
            "fax_number": "318-747-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. KEITH CHRISTY, M.D., APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "318-747-4988",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": "016819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1354481",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

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

Verify at the official NPI Registry.