Active NPI
April R St John-Keenoy, DO
- Family Medicine Physician
- Bay City, MI
National Provider Identifier
1902971641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101015757
- Practice address
- 1484 Straits Dr Ste 5
Bay City, MI 48706-8718 - Phone
- (989) 667-8740
- Fax
- (989) 667-8745
- NPI assigned
- Nov 21, 2006
- Last updated
- Jun 10, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 5101015757 | MI | |
| Family Medicine Physician | 207Q00000X | 5101015757 | MI | Primary |
Addresses
Primary practice location
1484 Straits Dr Ste 5
Bay City, MI 48706-8718
Mailing address
PO Box 1239
Troy, MI 48099-1239
Phone (248) 824-6600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5101015757 | Other | MI | STATE LICENSE NUMBER |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101015757 | MI | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHG Lxxxiii, LLC | Past | Accepting new patients | |
| Medical Ambulatory Services for Health PC | General Practice | Past | Accepting new patients |
| BHG Lxxxiii, LLC | Past | Accepting new patients |
Organizations & group practices 3
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 BHG Medical Services - Michigan
- Multi-Specialty Clinic/Center
- Lansing, MI
- NPI 1518677525
-
dba BHG Medical Services - Michigan
- Multi-Specialty Clinic/Center
- Mt Pleasant, MI
- NPI 1922712009
-
dba Delta Medical Center
- General Practice Physician
- Okemos, MI
- NPI 1821197922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370822400000",
"number": "1902971641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1239",
"city": "TROY",
"state": "MI",
"postal_code": "480991239",
"telephone_number": "248-824-6600",
"fax_number": "855-618-6655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1484 STRAITS DR STE 5",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487068718",
"telephone_number": "989-667-8740",
"fax_number": "989-667-8745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST JOHN-KEENOY",
"first_name": "APRIL",
"middle_name": "R",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2013-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MI",
"license": "5101015757",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101015757",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "5101015757",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bay City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.