ELIZABETH J. KEANE (NPI# 1063435600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063435600 |
| Entity Type | Individual |
| Full Name | ELIZABETH J. KEANE |
| Credential | A.T. |
| Practice Address |
14540 Old Saint Augustine Rd Suite 2201 Jacksonville FL 32258-7418 |
| Mailing Address |
1325 San Marco Blvd Suite 701 Jacksonville FL 32207-8568 |
| Practice Telephone | 9048801260 |
| Practice Fax Number | 9048801210 |
| Mailing Telephone | 9043463465 |
| Mailing Fax Number | 9048586490 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2012-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL2050 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 363A00000X | Physician Assistant | PA9106645 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043824816 | Elizabeth Keane | Physician Assistant | 25 Hollis Dr, Sound Beach, NY 11789-1629 | 2020-08-31 |
| 1174042535 | Elizabeth Keane | Nurse Practitioner | 9 Riverbank Rd, Salem, MA 01970-5311 | 2017-09-15 |
| 1851686976 | Elizabeth J Keane | Developmental Therapist | 54 West St, Concord, MA 01742-2945 | 2011-06-16 |
| 1669653325 | Elizabeth C Keane | Counselor | 14741 Katy Rd, Hopkins, MO 64461-7201 | 2007-11-21 |
| 1689827164 | Elizabeth W Keane | Nurse Practitioner | 850 Harrison Ave, Yacc, 3rd Floor, Boston, MA 02118-4001 | 2008-10-29 |
| 1588763353 | Elizabeth M Keane | Pediatrics | 145 Hollis Street, Manchester, NH 03101-1235 | 2006-09-21 |
| Street Address |
14540 OLD SAINT AUGUSTINE RD SUITE 2201 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32258-7418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124023445 | John Michael Tierney | Physician Assistant | 14540 Old Saint Augustine Rd, Suite 2201, Jacksonville, FL 32258-7418 | 2005-06-14 |
| 1083153365 | Baptist-southeast Gynecologic Oncology Associates Inc | Obstetrics & Gynecology | 14540 Old Saint Augustine Rd, Suite 2593, Jacksonville, FL 32258-7418 | 2017-02-20 |
| 1760851521 | Lindsay Choate | Physician Assistant | 14540 Old Saint Augustine Rd, Suite 2317, Jacksonville, FL 32258-7418 | 2015-09-22 |
| 1639505035 | Baptist Neurology Inc | Psychiatry & Neurology | 14540 Old Saint Augustine Rd, Suite 2599, Jacksonville, FL 32258-7418 | 2013-09-18 |
| 1275975047 | Christi Burnett Paul | Nurse Practitioner | 14540 Old Saint Augustine Rd, Suite 2207, Jacksonville, FL 32258-7418 | 2013-07-22 |
| 1215378203 | Alana Michelle Weatherly | Physician Assistant | 14540 Old Saint Augustine Rd, Suite 2391, Jacksonville, FL 32258-7418 | 2013-07-08 |
| 1801150594 | Matthew Theodore Swiatowicz | Physician Assistant | 14540 Old Saint Augustine Rd, Suite 2317, Jacksonville, FL 32258-7418 | 2012-06-27 |
| 1215233184 | Sunshine Spine and Pain Pa | Specialist | 14540 Old Saint Augustine Rd, Mob 2 Suite 2397, Jacksonville, FL 32258-7418 | 2011-02-09 |
| 1679802904 | Baptist Primary Care Inc | Internal Medicine | 14540 Old Saint Augustine Rd, Suite 2307, Jacksonville, FL 32258-2460 | 2009-12-16 |
| 1851530216 | Alyssa A Paetau | Surgery | 14540 Old Saint Augustine Rd, Suite 2571, Jacksonville, FL 32258-7418 | 2009-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794237 | Nicoleta Descalzo | Behavior Technician | 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 | 2019-11-15 |
| 1992275572 | William Lundgren | Nurse Anesthetist, Certified Registered | 3625 University Blvd South, Jacksonville, FL 32258 | 2018-11-27 |
| 1104301159 | Emergency Physicians Inc | Emergency Medicine | 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 | 2018-09-26 |
| 1679092886 | Palm Life Medical Associates Pa | Assisted Living Facility | 12494 Acosta Oaks Drive, Jacksonville, FL 32258 | 2017-09-19 |
| 1679013932 | Optometry Vision Care Pllc | Optometrist | 14866 Old St. Augustine Rd Unit 110, Jacksonville, FL 32258 | 2017-03-06 |
| 1467991950 | North Florida Vision Group Inc | Optometrist | 14866 Old St. Augustine Rd., Suite 110, Jacksonville, FL 32258 | 2017-02-16 |
| 1124576566 | Revolution Chiropractic LLC | Chiropractor | 14866 Old St Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-14 |
| 1396291936 | Robyn Reaves | Nurse Practitioner | 12361 Richards Glen Ct, Jacksonville, FL 32258 | 2016-09-01 |
| 1326595927 | Lauren Cost | Chiropractor | 14866 Old St. Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-01 |
| 1487991170 | Mark Steven Colosimo | Pharmacist | 13820 Old St Augustine Road, Jacksonville, FL 32258 | 2013-01-15 |
| Find all providers in zip 32258 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799527 | Emily Vander Zee | Physician Assistant | 6680 Bennett Creek Dr Apt 213, Jacksonville, FL 32216-0018 | 2020-10-30 |
| 1245830314 | Jonathan V Korah | Physician Assistant | 6650 Corporate Center Pkwy Apt 1108, Jacksonville, FL 32216-8725 | 2020-10-28 |
| 1255931473 | Rachel Gavrielle Stahly | Physician Assistant | 11438 Emuness Rd, Jacksonville, FL 32218-4050 | 2020-10-27 |
| 1760099071 | Laura Alexandra Ramos-heckman | Physician Assistant | 2014 Capistrano Dr, Jacksonville, FL 32224-3091 | 2020-09-30 |
| 1184230583 | Julian Clouse | Physician Assistant | 9803 Creekfront Rd Apt 307, Jacksonville, FL 32256-8449 | 2020-09-21 |
| 1962016717 | Stephanie Benton Gentry | Physician Assistant | 3179 Shadow Creek Rd, Jacksonville, FL 32226-2386 | 2020-08-31 |
| 1629689435 | Monarch Mental Health Association | Physician Assistant | 5393 Roosevelt Blvd Ste 8, Jacksonville, FL 32210-8424 | 2020-08-14 |
| 1235749425 | Nicole Lhommedieu | Physician Assistant | 3850 Marnie Pl, Jacksonville, FL 32223-3541 | 2020-08-03 |
| 1861002123 | Naw-am Acio Daniels | Physician Assistant | 7467 Volley Dr N, Jacksonville, FL 32277-9368 | 2020-08-03 |
| 1750906640 | Veronica Adriana Dediego | Physician Assistant | 915 W Monroe St Ste 300, Jacksonville, FL 32204-1177 | 2020-06-16 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32258 |
Please comment or provide details below to improve the information on ELIZABETH J. KEANE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.