MR. KEATON ROBERT WHITCOMB PA-C NPI 1841957396

NPI Information

  • NPI: 1841957396
  • Provider Name: MR. KEATON ROBERT WHITCOMB, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1501 SAN PEDRO DR SE
    ALBUQUERQUE, NM
    ZIP 87108
  • Phone: (505) 265-1711

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NPI Details

MR. Keaton Robert Whitcomb, PA-C is a medical physician assistant in Albuquerque, NM with 3 years of experience. MR. Keaton Robert Whitcomb, PA-C NPI is 1841957396. 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:

1501 SAN PEDRO DR SE
ALBUQUERQUE, NM
ZIP 87108-153
Phone: (505) 265-1711

The NPI 1841957396 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 11/19/2021 and was last updated on 11/24/2024.

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
1363AS0400XPhysician AssistantSurgicalNEW MEXICONo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3363AM0700XPhysician AssistantMedicalPA2023-0238NEW MEXICOYes

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: 11/21/2025

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