MR. KEITH W. CLEMENTS (NPI# 1356413298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356413298 |
| Entity Type | Individual |
| Full Name | MR. KEITH W. CLEMENTS |
| Credential | PA |
| Practice Address |
292 Broadway St. Box 60 Tecumseh NE 68450 |
| Practice Telephone | 4023353371 |
| Mailing Telephone | 4023353371 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 601 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770533697 | Keith Allen Clements | Specialist/Technologist | 1701 Meadow Chase Ln, Knoxville, TN 37931-4759 | 2006-05-11 |
| Street Address |
292 BROADWAY ST. BOX 60 |
| City | TECUMSEH |
| State | NE |
| Zip Code | 68450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447385851 | Johnson County Medical Center | Family Medicine | 292 Broadway St., Box 60, Tecumseh, NE 68450 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609942234 | Green River Associates Inc | Durable Medical Equipment & Medical Supplies | 123 South 3rd St, Tecumseh, NE 68450 | 2006-11-27 |
| 1174694186 | Keith W. Shuey | Family Medicine | 292 Broadway Street, Box 60, Tecumseh, NE 68450 | 2006-11-13 |
| 1992889208 | Hasselbalch Pharmacy Inc | Pharmacist | 143 South 3rd, Tecumseh, NE 68450 | 2006-10-24 |
| 1780895110 | Johnson County Hospital | Nurse Practitioner | 202 High Street, Tecumseh, NE 68450 | 2007-05-25 |
| 1144236548 | James I Defreece | Nurse Anesthetist, Certified Registered | 278 N 6th Street, Tecumseh, NE 68450-0748 | 2006-07-31 |
| 1780673350 | Todd Richard Wellensiek | Dentist | 684 N 5th St, Tecumseh, NE 68450-2055 | 2005-10-17 |
| 1285939108 | Judith Agnes Harper | Speech-Language Pathologist | 1133 N 3rd, Tecumseh, NE 68450-2069 | 2011-01-25 |
| 1154327328 | Belle Holdings, Inc. | Skilled Nursing Facility | 1133 N 3rd St, Tecumseh, NE 68450-2069 | 2005-06-22 |
| 1003398090 | Jackie Lynne Straube | Occupational Therapist | 1133 N 3rd St, Tecumseh, NE 68450-2069 | 2018-09-05 |
| 1508342270 | Oakwood Ventures, LLC | Skilled Nursing Facility | 1133 N 3rd St, Tecumseh, NE 68450-2069 | 2018-07-16 |
| Find all providers in zip 68450 | ||||
| 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 |
|---|---|---|---|---|
| 1093356396 | Morgan Marie Monahan | Physician Assistant | 501 E Chicago Blvd, Tecumseh, MI 49286-1515 | 2019-10-08 |
| 1043596760 | Shawn R Gerrity | Physician Assistant | 501 E. Cummins St, Tecumseh, MI 49286 | 2011-10-26 |
| 1649684184 | John Barrett Waldrep | Physician Assistant | 202 High St, Suite 100, Tecumseh, NE 68450-2443 | 2014-06-12 |
| 1659792968 | Kathryn Griess | Physician Assistant | 292 Broadway St, Tecumseh, NE 68450-2455 | 2014-01-05 |
| 1740548635 | Kelsey Lynn Perry | Physician Assistant | 501 E Cummins St, Tecumseh, MI 49286-2070 | 2012-04-27 |
| 1760623359 | Sara J Sharples | Physician Assistant | 509 Broadway St, Tecumseh, NE 68450-2306 | 2009-03-12 |
| 1205872777 | Angela L Diuble | Physician Assistant | 6869 S Occidental Rd, Tecumseh, MI 49286-9784 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184434 | Jacob Solomon Morrill | Physician Assistant | 2701 W Norfolk Ave Fl 4, Norfolk, NE 68701-4407 | 2020-11-07 |
| 1609475375 | Patrick Donald Heavey | Physician Assistant | 4660 Pine St, Omaha, NE 68106-2520 | 2020-10-22 |
| 1780297440 | Tayler Marie Llewellyn | Physician Assistant | 17241 Oak Dr, Omaha, NE 68130-2428 | 2020-08-24 |
| 1154933992 | Alexandria Rae Mctaggart | Physician Assistant | 5024 S 130th St, Omaha, NE 68137-1820 | 2020-08-22 |
| 1477170082 | Audrey Caroline Smith | Physician Assistant | 1303 N 188th St, Elkhorn, NE 68022-4501 | 2020-06-30 |
| 1851917181 | Connor Evan Bliss | Physician Assistant | 2908 W 39th St Ste D, Kearney, NE 68845-1245 | 2020-06-23 |
| 1124651443 | Kathryn A Kesti | Physician Assistant | 4242 Farnam St Ste 500, Omaha, NE 68131-2850 | 2020-02-14 |
| 1760014757 | Timothy Shew | Physician Assistant | 7500 Mercy Rd Ste 1300, Omaha, NE 68124-2319 | 2020-02-07 |
| 1659901601 | Jordan Marie Morris | Physician Assistant | 821 Bordeaux St, Chadron, NE 69337-2614 | 2020-01-17 |
| 1083264303 | Alicia K Clough | Physician Assistant | 15236 Westchester Dr, Omaha, NE 68154-2060 | 2019-09-18 |
| Find all providers with the same taxonomy | ||||
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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.