Active NPI
John David Keitz, D.O.
- Emergency Medicine Physician
- Joplin, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4498
- Practice address
- 95 Garden LN
Joplin, MO 64801-9114 - Phone
- (417) 529-3309
- NPI assigned
- Oct 4, 2006
- Last updated
- Oct 5, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4498 | TN | MD | Physical Therapist |
| 5314 | OK | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Methodist University Emergency Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
| Tri-Cities Regional Emergency Physicians, PC | Emergency Medicine | Current | Accepting new patients |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Highland Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Presbyterian Healthcare Services | Emergency Medicine | Current | Accepting new patients |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Owensboro Health Medical Group, Inc. | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Vituity - Illinois Auc LLP | Emergency Medicine | Current | Accepting new patients |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Tempe Emergency Physicians, LTD | Emergency Medicine | Current | Accepting new patients |
| Northwest HBP Medical Services LLC | Emergency Medicine | Current | Accepting new patients |
| River Oaks Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Ies ER Oklahoma LLC | Emergency Medicine | Current | Accepting new patients |
| Vituity - Illinois Auc LLP | Emergency Medicine | Current | Accepting new patients |
| Germantown Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Southern Medical Partners, LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America-California | Emergency Medicine | Current | Accepting new patients |
| Methodist South Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Methodist North Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Vituity - Illinois Auc LLP | Emergency Medicine | Current | 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
- 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.
-
- Emergency Medicine Physician
- Shreveport, LA
- NPI 1154913861
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1447148093
-
- Emergency Medicine Physician
- Alexandria, LA
- NPI 1407448186
-
- Emergency Medicine Physician
- Elgin, IL
- NPI 1912283110
-
- Emergency Medicine Physician
- Germantown, TN
- NPI 1518747526
-
- Emergency Medicine Physician
- Memphis, TN
- NPI 1801677083
-
- Emergency Medicine Physician
- Memphis, TN
- NPI 1609657873
-
- Emergency Medicine Physician
- Memphis, TN
- NPI 1023899291
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1407353006
-
dba Presbyterian Medical Group
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
- Emergency Medicine Physician
- Bullhead City, AZ
- NPI 1376934315
Hospital & facility affiliations 23
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Pollock SBHC
- Student Health Clinic/Center
- Pollock, LA
- NPI 1013037431
Hospital
-
dba Lessie Moore SBHC
- Student Health Clinic/Center
- Pineville, LA
- NPI 1023139458
Hospital
-
dba Tioga High SBHC
- Student Health Clinic/Center
- Pineville, LA
- NPI 1093836421
Hospital
-
dba Provencal SBHC
- Student Health Clinic/Center
- Provencal, LA
- NPI 1164687307
Hospital
-
dba Avoyelles Charter SBHC
- Student Health Clinic/Center
- Mansura, LA
- NPI 1225157050
Hospital
-
dba Buckeye SBHC
- Student Health Clinic/Center
- Deville, LA
- NPI 1285755611
Hospital
-
dba Natchitoches Central SBHC
- Student Health Clinic/Center
- Natchitoches, LA
- NPI 1356462782
Hospital
-
dba Glenmora SBHC
- Student Health Clinic/Center
- Glenmora, LA
- NPI 1376664706
Hospital
-
dba Jena Junior High SBHC
- Student Health Clinic/Center
- Jena, LA
- NPI 1467573899
Hospital
-
dba Jena High SBHC
- Student Health Clinic/Center
- Jena, LA
- NPI 1558482984
Hospital
-
dba Marthaville SBHC
- Student Health Clinic/Center
- Marthaville, LA
- NPI 1609031962
Hospital
-
dba CHRISTUS St. Frances Cabrini Hospital
- General Acute Care Hospital
- Alexandria, LA
- NPI 1639160799
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.