DR. MARC S KEYS DPM NPI 1720050057

NPI Information

NPI: 1720050057
Provider Name: DR. MARC S KEYS, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
823 E MICHIGAN AVE
JACKSON, MI
ZIP 49201
Phone: (517) 788-7760
Get Directions

DR. Marc S Keys, DPM is a podiatrist in Jackson, MI. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DR. Marc S Keys, DPM NPI is 1720050057. 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:

823 E MICHIGAN AVE
JACKSON, MI
ZIP 49201-401
Phone: (517) 788-7760
Fax: (517) 788-7730

The NPI 1720050057 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 2/2/2006 and was last updated on 5/9/2016.

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	213E00000X	Podiatrist		MK000761	MICHIGAN	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	03856	OTHER		PARAMOUNT
2	0P24230001	OTHER	MICHIGAN	PTAN
3	107211	OTHER		PREF CHOICES
4	C5010	OTHER		MCARE
5	3296294	MEDICAID	MICHIGAN
6	200000004415	OTHER		PHP
7	T34397	MEDICARE UPIN
8	2756	OTHER		HEALTH PLAN OF MI
9	1238522	MEDICAID	MICHIGAN
10	0250190001	MEDICARE NSC	MICHIGAN
11	4854613330	OTHER		BCBS
12	1006470	OTHER		JACKSON HEALTH PLAN
13	0250190003	MEDICARE NSC	MICHIGAN
14	101452	OTHER		GREAT LAKES HEALTH PLAN
15	7165081	OTHER		CIGNA
16	480015360	OTHER		RAIL ROAD MR

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

NPI Synchronization or Removal

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