Keith Runyan, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME62416 Issued in FL

Legal business name

KEITH RUNYAN, MD

Practice address

6499 38TH Ave N
Suite C-1
St Petersburg, FL 33710-1656

Phone

(727) 345-3908

NPI assigned

Apr 11, 2012

Organization subpart

No

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

Authorized official

Name

Keith Runyan, M.D.NPI 1104801018

Title

Owner

Phone

(727) 345-3908

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith Roberts Runyan, M.D.

  • Nephrology Physician
  • St Pete Beach, FL
  • NPI 1104801018
  NPD (past) Authorized official
• Nema Senol Runyan, M.D.

  • Internal Medicine Physician
  • Mesa, AZ
  • NPI 1619953171
  NPD (past)

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1902162290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 W MARITANA DR",
            "city": "ST PETE BEACH",
            "state": "FL",
            "postal_code": "337064043",
            "telephone_number": "727-368-6479",
            "fax_number": "727-345-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6499 38TH AVE N",
            "address_2": "SUITE C-1",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101656",
            "telephone_number": "727-345-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH RUNYAN, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "RUNYAN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-345-3908",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME62416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne H. Kehm II, DDS, PA
• Breanna Rose Keich
• Keith a. Brady M.D., P.a.
• Keith Brady, M.D., P.a
• Keith Golin PHD FL LLC
• Alaina Keith, MD
• Margaret Ann Kelleher, M.D.
• Winnie J Keller, M.S. CCC/A, FAAA
• Michael Shawn Kellerman, LMHC SAP MAC CAP CCJ
• Kishma Kelley, REGISTERED NURSE

• Nephrology Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.