KEYES SURGICAL ASSIST INC NPI 1356494777

NPI Information

NPI: 1356494777
Provider Name: KEYES SURGICAL ASSIST INC
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
1700 S 23RD ST
FORT PIERCE, FL
ZIP 34950
Phone: (772) 461-4000
Get Directions

KEYES SURGICAL ASSIST INC is a surgical physician assistant in Fort Pierce, FL. KEYES SURGICAL ASSIST INC NPI is 1356494777. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1700 S 23RD ST
FORT PIERCE, FL
ZIP 34950-803
Phone: (772) 461-4000
Fax: (772) 467-2856

The provider's authorized official is James Miller Keyes .
The authorized official title is Physician Assistant Certified and has the following contact phone number (772) 398-9763.

The enumeration date for this NPI number is 1/19/2007 and was last updated on 11/20/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA2081	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	X1622	OTHER	FLORIDA	BCBS
2	Y49781	MEDICARE UPIN	FLORIDA
3	K9335	MEDICARE PIN	FLORIDA
4	DF1932	OTHER	FLORIDA	MEDICARE RAILROAD
5	65113	OTHER		METCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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