Active NPI
William George Keating, MD
- Diagnostic Radiology Physician
- Ann Arbor, MI
National Provider Identifier
1922177724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 36548
- Practice address
- 2647 Pin Oak Drive
Ann Arbor, MI 48103 - Phone
- (734) 769-4873
- Fax
- (734) 769-4873
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 36548 | MI | Primary |
Addresses
Primary practice location
2647 Pin Oak Drive
Ann Arbor, MI 48103
Mailing address
2647 Pin Oak Drive
Ann Arbor, MI 48103
Phone (734) 769-4873
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2676397 | Medicaid | MI | |
| 300C06077001 | Other | MI | BLUE CROSS |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36548 | MI | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922177724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2647 PIN OAK DRIVE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48103",
"telephone_number": "734-769-4873",
"fax_number": "734-769-4873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2647 PIN OAK DRIVE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48103",
"telephone_number": "734-769-4873",
"fax_number": "734-769-4873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEATING",
"first_name": "WILLIAM",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "36548",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2676397",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "300C06077001",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.