Individual provider Active NPI

Gayle Keider

  • Medical Physician Assistant
  • Troy, MI
National Provider Identifier
1891971677
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
115 E Long Lake Rd
Troy, MI 48085-5524
Phone
(248) 828-7500
Fax
(248) 813-6511
NPI assigned
Jan 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

115 E Long Lake Rd
Troy, MI 48085-5524

Mailing address

115 E Long Lake Rd
Troy, MI 48085-5524
Phone (248) 828-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20140502001272 MI Practitioner - Physician Assistant 8527291285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
A Plus Medical Associates PLLCGroup PAC ID 0941610596, 8 clinicians

Practice addresses (Care Compare)

2849 Michigan St NE
Suite 102
Grand Rapids, MI 49506-1216
Phone (616) 285-6450

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: gayle.keider.1@19662.direct.athenahealth.com
  • Direct secure messaging: gkeider@aplus.gwaydirect.com

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1891971677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E LONG LAKE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480855524",
            "telephone_number": "248-828-7500",
            "fax_number": "248-813-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E LONG LAKE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480855524",
            "telephone_number": "248-828-7500",
            "fax_number": "248-813-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIDER",
        "first_name": "GAYLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-11",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.