KEYES SURGICAL ASSIST INC


Address: 1700 S 23rd St, Fort Pierce, FL 34950-4803
Phone: 7724614000

KEYES SURGICAL ASSIST INC (NPI# 1356494777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356494777
Entity Type Organization
Organization Name KEYES SURGICAL ASSIST INC
Practice Address 1700 S 23rd St
Fort Pierce
FL 34950-4803
Mailing Address 132 Wide River Cv
Stuart
FL 34994-9132
Practice Telephone 7724614000
Practice Fax Number 7724672856
Mailing Telephone 7723989763
Mailing Fax Number 7723377548
Enumeration Date 2007-01-19
Last Update Date 2007-11-20
Authorized Official Name MR. JAMES MILLER KEYES (PHYSICIAN ASSISTANT CERTIFIED)
Authorized Official Telephone 7723989763
Authorized Official Credential PA-C
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA2081 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL BCBS X1622 01
METCARE 65113 01
FL MEDICARE RAILROAD DF1932 01

Office Location

Street Address 1700 S 23RD ST
City FORT PIERCE
State FL
Zip Code 34950-4803

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457358590 Daniel Adam Picard Internal Medicine 1700 S 23rd St, Fort Pierce, FL 34950-4803 2005-07-05
1245846013 Nerlie Pierre Nurse Anesthetist, Certified Registered 1700 S 23rd St, Fort Pierce, FL 34950-4803 2020-09-17
1548871148 Jenna Barnes Physical Therapist 1700 S 23rd St, Fort Pierce, FL 34950-4803 2020-08-17
1033729975 Lawnwood Anesthesia Providers LLC Anesthesiology 1700 S 23rd St, Fort Pierce, FL 34950-4803 2020-08-05
1851914832 Gregory Germain Nurse Anesthetist, Certified Registered 1700 S 23rd St, Fort Pierce, FL 34950-4803 2020-05-25
1912520388 Cassie Rebekah Paulus Occupational Therapist 1700 S 23rd St, Fort Pierce, FL 34950-4803 2020-05-20
1871130427 Lindsay Bowers Physician Assistant 1700 S 23rd St, Fort Pierce, FL 34950-4803 2019-12-03
1871143578 Garry Desulme Nurse Practitioner 1700 S 23rd St, Fort Pierce, FL 34950-4803 2019-09-14
1194290601 Megan Lane Pharmacist 1700 S 23rd St, Fort Pierce, FL 34950-4803 2018-10-11
1669947164 Julouse Etienne Registered Nurse 1700 S 23rd St, Fort Pierce, FL 34950-4899 2018-10-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659853018 New Day Counseling & Wellness, LLC Clinic/Center 130 S Indian River Drive Suite 202, Fort Pierce, FL 34950 2018-09-03
1548749351 Jaber's Pharmacy, Inc. Pharmacy 2210 Orange Ave, Fort Pierce, FL 34950 2018-08-13
1386139699 Pas Substance Abuse, Inc. Substance Abuse Rehabilitation Facility 2017 Avenue D, Fort Pierce, FL 34950 2018-06-28
1629573134 Southeastern Dme LLC Durable Medical Equipment & Medical Supplies 200 S Indian River Dr Ste 300, Fort Pierce, FL 34950 2018-03-27
1962903666 Serenity Dme LLC Durable Medical Equipment & Medical Supplies 111 N 2nd St Ste 101, Fort Pierce, FL 34950 2018-02-27
1417463068 Ryan Nippes Counselor 1302 N Lawnwood Cr, Suite B, Fort Pierce, FL 34950 2017-12-19
1639685282 Valencia Worrell Counselor 1302 N Lswnwood Cr, Suite B, Fort Pierce, FL 34950 2017-12-19
1194173153 Angel French Massage Therapist 101 North Us1, Suite 117, Fort Pierce, FL 34950 2016-06-01
1780052951 Alison Hess Physician Assistant 1700 S. 23rd St, Fort Pierce, FL 34950 2015-09-04
1629329784 Dr. Rhaina A Smeds, Psyd Inc. Psychologist 100 Ave A, Ste 2d, Ft. Pierce, FL 34950 2012-09-28
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982075578 Brandon Drew Anders Physician Assistant 2402 Frist Blvd Ste 102&103, Fort Pierce, FL 34950-4838 2015-10-08
1255813911 David Mcneely Roberts Physician Assistant 2401 Frist Blvd Ste 4, Fort Pierce, FL 34950 2018-08-29
1417099441 Shakeel C Sharif Physician Assistant 1700 S 23rd St, Fort Pierce, FL 34950-4803 2007-02-13
1467549105 Lewis Jackson Dorrance Physician Assistant 2401 Frist Blvd, #7, 9 & 10, Fort Pierce, FL 34950-4800 2006-10-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811598691 Monica Nancy Ginocchio Physician Assistant 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 2020-11-06
1427657055 Alyson Ryall Physician Assistant 480 Ventura Pl, Vero Beach, FL 32963-4262 2020-10-24
1104436476 Forrest Joseph Steslow Physician Assistant 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 2020-08-03
1063039576 Joshua Bras Prewitt Physician Assistant 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 2020-06-30
1003443904 Sheila Rhinehart Physician Assistant 981 Tarpon Ave, Sebastian, FL 32958-5147 2020-03-23
1952932493 Lisel Spieler Physician Assistant 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 2020-02-03
1326685991 Nikolai X Lincavage Physician Assistant 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 2019-12-03
1356984686 Zane K Jude Physician Assistant 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 2019-10-18
1720635998 Jose R Munoz Physician Assistant 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 2019-08-22
1811559578 Sydney Gillen Physician Assistant 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 2019-07-02
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Competitor

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City FORT PIERCE
Zip Code 34950

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Dataset Information

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.

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