Provider Type Icon

KEITH EDWARD SEGALL DO NPI 1639245368


NPI Information

NPI: 1639245368
Provider Name: KEITH EDWARD SEGALL, DO
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
111 PARKWAY
VIENNA, MO
ZIP 65582
Phone: (573) 422-3360
Get Directions

Keith Edward Segall, DO is a family medicine in Vienna, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Keith Edward Segall, DO NPI is 1639245368. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

111 PARKWAY
VIENNA, MO
ZIP 65582-003
Phone: (573) 422-3360
Fax: (573) 422-3391

The NPI 1639245368 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/27/2006 and was last updated on 7/8/2007.


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
1207Q00000XFamily MedicineD0106518MISSOURIYes

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
113680OTHERGROUP HEALTH PLAN
21904V1471OTHERHEALTHCARE USA
30120039OTHERUNITED HEALTHCARE
4V410OTHERMISSOURIMISSOURI CARE
5G00218MEDICARE UPIN
6G00218OTHERMISSOURIMERCY HEALTH PLAN
7257668OTHERMISSOURIHEALTHLINK
810048OTHERMISSOURIBLUE CROSS

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.