Melinda G Keener, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME105501 Issued in FL

Practice address

263 SW Professional GLN
Lake City, FL 32025-1105

Phone

(386) 755-6676

Fax

(386) 755-1667

NPI assigned

Apr 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. 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 Medicine

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384732800000",
    "number": "1861615098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 SW PROFESSIONAL GLN",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320251105",
            "telephone_number": "386-755-6676",
            "fax_number": "386-755-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 SW PROFESSIONAL GLN",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320251105",
            "telephone_number": "386-755-6676",
            "fax_number": "386-755-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENER",
        "first_name": "MELINDA",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2013-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "41693",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME105501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Kassabian
• Nikhita Kathuria-Prakash, MD
• Natascha Katovich, LCSW
• Mary Ratliff Kedrowski, D.O.
• Tara S. Keen, NP-FAMILY
• Latangaiee Shabreek Keith
• Michael Dennis Keith, A.P.R.N., L.C.A.C.
• Carol Ann Keller
• Amy Kelley, LPC
• Irene Kelly

• Plastic Surgery Physician in Lake City, FL
• Providers in Lake City, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.