DR. IAN RANDALL KECK (NPI# 1134653520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134653520 |
| Entity Type | Individual |
| Full Name | DR. IAN RANDALL KECK |
| Credential | DO |
| Practice Address |
1000 Houghton Avenue Saginaw MI 48602 |
| Practice Telephone | 9895836800 |
| Mailing Telephone | 9895836800 |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2019-06-21 |
| NPI Deactivation Date | 06/18/2019 |
| NPI Reactivation Date | 2019-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 5151014116APP19 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
1000 HOUGHTON AVENUE |
| City | SAGINAW |
| State | MI |
| Zip Code | 48602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598211823 | Triptpal Singh Sanghera | Family Medicine | 1000 Houghton Avenue, Saginaw, MI 48602-5303 | 2016-08-28 |
| 1821613357 | Sukaina Ali Alali | Internal Medicine | 1000 Houghton Avenue, Saginaw, MI 48602 | 2020-06-10 |
| 1174045090 | Jennifer Henrich | Obstetrics & Gynecology | 1000 Houghton Avenue, Saginaw, MI 48602 | 2017-07-12 |
| 1538699137 | Christopher Lee Price | Family Medicine | 1000 Houghton Avenue, Saginaw, MI 48602 | 2017-06-15 |
| 1396275186 | Matthew Christopher Newman | Internal Medicine | 1000 Houghton Avenue, Saginaw, MI 48602 | 2017-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326665654 | Samuel R Olson | Student in an Organized Health Care Education/Training Program | Covenent Healthcare Cooper, 700 Cooper Avenue, Saginaw, MI 48602 | 2020-07-02 |
| 1871110726 | Quinn Murphy Ameel | Student in an Organized Health Care Education/Training Program | Cmed 1632 Stone St., Saginaw, MI 48602 | 2020-06-26 |
| 1730713322 | Abiola A Alaka | Student in an Organized Health Care Education/Training Program | 314 N Hamilton St, Saginaw, MI 48602 | 2020-02-24 |
| 1598235137 | Summer Dawn Broekhof | Speech-Language Pathologist | 515 N. Michigan, Saginaw, MI 48602 | 2018-11-27 |
| 1811486293 | Barbara Jean Hall | Physical Therapy Assistant | 500 S Hamilton, Saginaw, MI 48602 | 2018-05-01 |
| 1053808519 | Cst Counseling and Transitional Services Inc | Social Worker | 120 N Michigan Ave Ste 207, Saginaw, MI 48602 | 2018-04-19 |
| 1801325246 | Moregan Rose Lamarr | Social Worker | 304 South Niagara St, Saginaw, MI 48602 | 2017-06-08 |
| 1750818449 | Tamera Graham | Nurse Practitioner | 1447 N. Harrison St., Saginaw, MI 48602 | 2017-05-12 |
| 1831622109 | Brooke Vitale | Technician, Other | 1300 N. Michigan, Autism Plus, Saginaw, MI 48602 | 2017-04-04 |
| 1215387576 | Dorthia Eggleston | Specialist | 1203 Gratiot, Saginaw, MI 48602 | 2016-06-17 |
| Find all providers in zip 48602 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326579129 | Kwabuaa Dow | Emergency Medicine | 900 N Blue Mound Rd Ste 144, #130, Saginaw, TX 76131-8827 | 2017-03-23 |
| 1285783522 | J. Brian Hancock | Emergency Medicine | 4827 Pebworth Pl, Saginaw, MI 48603-9306 | 2007-01-09 |
| 1366556656 | Brian Purchase | Emergency Medicine | 2970 Pierce Rd, Saginaw, MI 48604-8810 | 2006-08-17 |
| 1295780898 | Alexander Anderson | Emergency Medicine | 1015 S Washington Ave Ste E, Saginaw, MI 48601 | 2006-05-23 |
| 1861468514 | Joseph C Spadafore | Emergency Medicine | 900 Cooper Ave., Saginaw, MI 48602 | 2006-02-23 |
| 1114914603 | Andrew Bazakis | Emergency Medicine | 900 Cooper, Saginaw, MI 48602 | 2005-09-30 |
| 1790772283 | Kathleen Cowling | Emergency Medicine | 900 Cooper St., Saginaw, MI 48602 | 2005-09-30 |
| 1295722841 | Mary L Arvanitis | Emergency Medicine | 900 Cooper St, Saginaw, MI 48602-4727 | 2005-09-29 |
| 1295734135 | Kenneth C. Hanson Jr. | Emergency Medicine | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2005-07-20 |
| 1689291361 | Alicia Gabriela Hoban | Emergency Medicine | 1000 Houghton Ave, Saginaw, MI 48602-5303 | 2020-06-29 |
| Find all providers in SAGINAW | ||||
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| 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.