Active NPI
Warren C Keene, MD
- Emergency Medicine Physician
- Coeur d'Alene, ID
National Provider Identifier
1861485161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- M8008
- Practice address
- 2003 Lincoln Way
Coeur D Alene, ID 83814-2611 - Phone
- (208) 666-2000
- Fax
- (208) 666-3963
- NPI assigned
- Aug 23, 2005
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | M8008 | ID | Primary |
Addresses
Primary practice location
2003 Lincoln Way
Coeur D Alene, ID 83814-2611
Mailing address
2003 Lincoln Way
Coeur D Alene, ID 83814-2611
Phone (208) 666-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HBMM6 | Other | ID | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4741 | ND | MD | Pharmacist |
| M8008 | ID | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Incyte Pathology, PLLC | Current | Accepting new patients | |
| Western Medical Associates, PLLC | Emergency Medicine | Past | Accepting new patients |
Locations
2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085
Organizations & group practices 2
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.
-
dba InCyte Pathology
- Anatomic Pathology & Clinical Pathology Physician
- Spokane Valley, WA
- NPI 1326086745
-
- Emergency Medicine Physician
- Coeur d'Alene, ID
- NPI 1649734922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1861485161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2003 LINCOLN WAY",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142611",
"telephone_number": "208-666-2000",
"fax_number": "208-666-3963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2003 LINCOLN WAY",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142611",
"telephone_number": "208-666-2000",
"fax_number": "208-666-3963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEENE",
"first_name": "WARREN",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-23",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ID",
"license": "M8008",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "HBMM6",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coeur d'Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.