David W. Keene, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

157026 Issued in OR

Practice address

222 SE 8TH Ave
Suite 551
Hillsboro, OR 97123-4218

Phone

(503) 352-7318

Fax

(503) 352-7280

NPI assigned

Mar 11, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• Icco, LLC

  • Urgent Care Clinic/Center
  • Eugene, OR
  • NPI 1407004757
  Medicare reassignment
• Kidney Care Physicians LLC

  • Nephrology Physician
  • Salem, OR
  • NPI 1467672261
  Medicare reassignment
• Pain Care Specialists of Oregon, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Salem, OR
  • NPI 1942675467
  Medicare reassignment
• Icco, LLC

  • Urgent Care Clinic/Center
  • Springfield, OR
  • NPI 1528356953
  NPD

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1851632293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 SE 8TH AVE",
            "address_2": "SUITE 551",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234218",
            "telephone_number": "503-352-7318",
            "fax_number": "503-352-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SE 8TH AVE",
            "address_2": "SUITE 551",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234218",
            "telephone_number": "503-352-7318",
            "fax_number": "503-352-7280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENE",
        "first_name": "DAVID",
        "middle_name": "W.",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-11",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "157026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richelle Kaye
• Kara Rae Kazemba, LCSW
• Brandon Scott Kearbey, DDS
• Malinda Brietta Kearbey, DDS
• Hailemariam Kebede
• Hipsia Keister
• Camille Nicole Keith, LPC
• Ryan Kahae Kele, PHARMD
• Kristen J Kell, BSK, ATS
• Eleanor Kelleher, LPC

• Physician Assistant in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.