William R. Keith Jr., MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME0050381 Issued in FL

Practice address

2721 Del Prado Blvd S
Suite 200
Cape Coral, FL 33904-5781

Phone

(239) 772-3636

Fax

(239) 772-5073

NPI assigned

May 23, 2005

Last updated

Sep 9, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1922001130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 DEL PRADO BLVD S",
            "address_2": "SUITE 200",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339045781",
            "telephone_number": "239-772-3636",
            "fax_number": "239-772-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 DEL PRADO BLVD S",
            "address_2": "SUITE 200",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339045781",
            "telephone_number": "239-772-3636",
            "fax_number": "239-772-5073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "WILLIAM",
        "middle_name": "R.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2010-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0050381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "206855",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00102099",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4198736",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "08513",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2499169",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043671200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Keating, O.D.
• Macey Keel
• Leslie Elaine Keenan, MS SLP-CCC
• Rebecca Keeton
• Keith a. Baker, D.O., P.a. (Laurel Oak Medical Associates)
• Brooke Leanne Kelley, PHARMD
• Sean Kelley
• Lidysvet Kelly Ortega
• Jordan Lacey Kelly, CRNA
• Rita A. Kelly, APRN

• Gastroenterology Physician in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.