Individual provider Active NPI

John David Keitz, D.O.

  • Emergency Medicine Physician
  • Joplin, MO
National Provider Identifier
1912092818
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4498 Issued in TN
Practice address
95 Garden LN
Joplin, MO 64801-9114
Phone
(417) 529-3309
NPI assigned
Oct 4, 2006
Last updated
Oct 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4498 TN Primary
Emergency Medicine Physician 207P00000X 036133723 IL
Emergency Medicine Physician 207P00000X 2005001991 MO

Addresses

Primary practice location

95 Garden LN
Joplin, MO 64801-9114

Mailing address

95 Garden LN
Joplin, MO 64801-9114
Phone (417) 529-3309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, CA, OK, IL, AZ, TN, LA7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20090330000428 NM Practitioner - Emergency Medicine 7618077751 Reassigns benefits to 1 organization
I20120220001055 CA Practitioner - Emergency Medicine 7618077751 Reassigns benefits to 1 organization
I20130222000475 OK Practitioner - Emergency Medicine 7618077751 Reassigns benefits to 1 organization
I20131011000383 IL Practitioner - Emergency Medicine 7618077751 Reassigns benefits to 2 organizations
I20140502001156 AZ Practitioner - Emergency Medicine 7618077751 Reassigns benefits to 2 organizations
I20211027001735 TN Practitioner - Emergency Medicine 7618077751 Reassigns benefits to 5 organizations
I20240822000100 LA Practitioner - Emergency Medicine 7618077751 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highland Emergency Group, LLCGroup PAC ID 6800295890, 42 clinicians
Ies ER Oklahoma LLCGroup PAC ID 5395234678, 135 clinicians
River Oaks Emergency Group, LLCGroup PAC ID 6901214584, 33 clinicians

Practice addresses (Care Compare)

2531 Viking Dr
Bossier City, LA 71111-2103
Phone (318) 681-7000

300 Rockefeller Dr
Muskogee, OK 74401-5075
Phone (918) 682-5501

3330 Masonic Dr
Alexandria, LA 71301-3841
Phone (318) 487-1122

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4498TNMDPhysical Therapist
5314OKMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Emergency Medicine Current Accepting new patients
Methodist University Emergency Physicians PLLC Emergency Medicine CurrentSince Feb 20, 2024 Accepting new patients
Tri-Cities Regional Emergency Physicians, PC Emergency Medicine CurrentSince Sep 20, 2021 Accepting new patients
Presbyterian Healthcare Services Current Accepting new patients
Highland Emergency Group, LLC Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Presbyterian Healthcare Services Emergency Medicine CurrentSince Jun 1, 2019 Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Apr 1, 2020 Accepting new patients
Owensboro Health Medical Group, Inc. Emergency Medicine CurrentSince Jul 7, 2021 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Feb 1, 2020 Accepting new patients
Vituity - Illinois Auc LLP Emergency Medicine Current Accepting new patients
Owensboro Health Medical Group Inc CurrentSince Jul 7, 2021 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Aug 7, 2023 Accepting new patients
Tempe Emergency Physicians, LTD Emergency Medicine CurrentSince Apr 13, 2024 Accepting new patients
Northwest HBP Medical Services LLC Emergency Medicine CurrentSince Mar 1, 2019 Accepting new patients
River Oaks Emergency Group, LLC Emergency Medicine CurrentSince Oct 17, 2025 Accepting new patients
Ies ER Oklahoma LLC Emergency Medicine CurrentSince Nov 12, 2025 Accepting new patients
Vituity - Illinois Auc LLP Emergency Medicine CurrentSince Apr 1, 2020 Accepting new patients
Germantown Emergency Physicians, PLLC Emergency Medicine CurrentSince Feb 25, 2024 Accepting new patients
Southern Medical Partners, LLC Emergency Medicine CurrentSince Jun 12, 2024 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Feb 1, 2020 Accepting new patients
Methodist South Emergency Physicians, PLLC Emergency Medicine CurrentSince Feb 20, 2024 Accepting new patients
Methodist North Emergency Physicians, PLLC Emergency Medicine CurrentSince Feb 20, 2024 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Apr 1, 2020 Accepting new patients
Vituity - Illinois Auc LLP Emergency Medicine CurrentSince Apr 1, 2020 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients
Skaggs Community Hospital Association Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of New Haven County,LLC Emergency Medicine Past Accepting new patients
Pegasus Emergency Group Wyoming LLC Emergency Medicine Past Accepting new patients
Saint Francis Hospital, Inc. Past Accepting new patients
Quantum Plus LLC Emergency Medicine Past Accepting new patients
Sjmgroup Past Accepting new patients
Owensboro Health Medical Group, Inc Emergency Medicine Past Accepting new patients
Saint Francis Hospital Muskogee Inc Past Accepting new patients
Emergency Medicine Physicians of Fairfield County, LLC Emergency Medicine Past Accepting new patients
Emergency Medicine Physician Partners of Riverside County, Inc Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Lawrence County LTD Emergency Medicine Past Accepting new patients

Locations (25 of 39)

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

2700 Dolbeer St
Eureka, CA 95501
Phone (707) 269-4229

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

27300 Iris Ave
Moreno Valley, CA 92555
Phone (909) 243-0811

7500 Hospital Dr
Sacramento, CA 95823
Phone (916) 423-3000

869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800

801 W Temple Ave
Effingham, IL 62401
Phone (217) 342-5800

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857

9515 Holy Cross Ln
Saint Rose, IL 62230
Phone (618) 526-4511

80 Hospital Dr
Barbourville, KY 40906
Phone (606) 545-5500

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

440 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-8000

100 Medical Dr
Hazard, KY 41701
Phone (606) 439-6600

1850 Bluegrass Ave
Louisville, KY 40215
Phone (502) 361-6000

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

727 Hospital Dr
Shelbyville, KY 40065
Phone (502) 633-2345

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

2531 Viking Dr
Bossier City, LA 71111
Phone (318) 681-7000

200 Corporate Blvd
Lafayette, LA 70508

Interoperability endpoints

  • Direct secure messaging: jkeitz433461@christushealth.direct-ci.net

Organizations & group practices 37

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.

View all 37

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1912092818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 GARDEN LN",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648019114",
            "telephone_number": "417-529-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 GARDEN LN",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648019114",
            "telephone_number": "417-529-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITZ",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "4498",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036133723",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2005001991",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.