Keys Neurology, P.a.

Organization Active NPI Neurological Surgery Physician · Manchester, MD

NPI 1962681759 · NPPES record last updated Oct 29, 2007

Key facts

NPI
1962681759
Entity type
Organization (NPI type 2)
Primary specialty
Neurological Surgery Physician 207T00000X
License
D41962 (MD)
Legal business name
KEYS NEUROLOGY, P.A.
Practice address
2975 Manchester Rd
Unit a
Manchester, MD 21102-1802
Phone
(410) 374-8100
Fax
(410) 374-8104
NPI assigned
Oct 29, 2007
Organization subpart
No

Authorized official

Name
Dr. William Keys, M.D, PH.D.
Title
President
Phone
(410) 374-8100

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MD

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100819001074 MD Part B Supplier - Clinic/Group Practice 4486788809 Receives reassigned benefits from 1 practitioner
Practice locations: Manchester, MD

National Provider Directory

Locations

2975 Manchester Rd
#A
Manchester, MD 21102
Phone (410) 374-8100

2975A Manchester Rd
Manchester, MD 21102

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207T00000X D41962 MD Yes

Addresses

Primary practice location

2975 Manchester Rd
Unit a
Manchester, MD 21102-1802

Mailing address

2975 Manchester Rd
Unit a
Manchester, MD 21102-1802
Phone (410) 374-8100

Other providers in Manchester, MD

All providers in Manchester, MD · Neurological Surgery Physician in Maryland

Sources for this page

Verify at the official NPI Registry.