DR. STEPHEN KEEN (NPI# 1407175425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407175425 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN KEEN |
| Credential | M.D. |
| Practice Address |
145 City Pl Ste 101 Palm Coast FL 32164-2480 |
| Practice Telephone | 3863020975 |
| Practice Fax Number | 3863020976 |
| Mailing Telephone | 3863020975 |
| Mailing Fax Number | 3863020976 |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2018-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME110991 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | TRICARE | 1407175425 | 01 |
| FL | MEDICAL LICENSE | ME110991 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669797049 | Stephen D Keen | Physician Assistant | 8091 Rivers Ave, North Charleston, SC 29406-9236 | 2010-03-29 |
| 1619946829 | Stephen Michael Keen | Emergency Medicine | 22 Shipwash Dr, Garner, NC 27529-6861 | 2006-03-17 |
| Street Address |
145 CITY PL STE 101 |
| City | PALM COAST |
| State | FL |
| Zip Code | 32164-2480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417561044 | Ereka Manangan | Pharmacist | 5000 E, Fl-100, Palm Coast, FL 32164 | 2020-09-01 |
| 1427661735 | George Allen Parker | Pharmacist | 5000 E Hwy 100, Palm Coast, FL 32164 | 2020-08-26 |
| 1891318424 | Faithangel Corp | In Home Supportive Care | 125 Pine Grove Dr, Palm Coast, FL 32164 | 2020-05-18 |
| 1578101481 | Sweetie Peetie LLC | Hearing Instrument Specialist | 160 Cypress Point Parkway, Ste A108, Palm Coast, FL 32164 | 2019-12-11 |
| 1831656610 | Dolphin Medical Transport LLC | Taxi | 30 Westmoreland Dr, Palm Coast, FL 32164 | 2019-02-27 |
| 1003389024 | Southeast Snoring & Sleep Apnea Group | Durable Medical Equipment & Medical Supplies | 108 Pennacles Dr. #101, Palm Coast, FL 32164 | 2019-01-03 |
| 1801388137 | Lily Michelle King | Licensed Practical Nurse | 8 Regent Ln, Palm Coast, FL 32164 | 2018-06-01 |
| 1558880120 | Bryan Mendes | Physical Therapist | 1 Westrock Ln, Palm Coast, FL 32164 | 2017-09-14 |
| 1477077451 | Sharon Denise Astrologo | Case Manager/Care Coordinator | 421 S. Keech St., Daytona Beach, FL 32164 | 2017-08-01 |
| 1952825283 | Emily Guarino | Behavior Technician | 136a Wellwood Lane, Palm Coast, FL 32164 | 2017-07-28 |
| Find all providers in zip 32164 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184251787 | Cassandra Chamoun | Family Medicine | 43 Eagle Harbor Trl, Palm Coast, FL 32164-6149 | 2020-03-24 |
| 1467751057 | Edwin R Forsberg | Family Medicine | 30 Emerald Lake Dr, Palm Coast, FL 32137-1311 | 2011-03-22 |
| 1801121215 | Ralph William Buchanan Sr. | Family Medicine | 44 Ocean St, Palm Coast, FL 32137-2419 | 2009-10-03 |
| 1477747970 | Natalya A Verbinskaya | Family Medicine | 4875 Palm Coast Pkwy N.w., Unit 1, Palm Coast, FL 32137 | 2007-08-29 |
| 1013108992 | S S Marathe Md Pa | Family Medicine | 4869 Palm Coast Pkwy Nw, Suite 2, Palm Coast, FL 32137-3661 | 2007-08-06 |
| 1669672952 | Adams Medical Associates, Pa | Family Medicine | 28 Office Park Dr, Palm Coast, FL 32137-3808 | 2007-07-24 |
| 1841316312 | F R Fruehan Family Practice Inc | Family Medicine | 9 Pine Cone Dr Ste 102, Palm Coast, FL 32137-8683 | 2007-03-22 |
| 1154457513 | Jonathan Peter Halcovage | Family Medicine | 68 Clubhouse Dr, Palm Coast, FL 32137-8135 | 2007-02-27 |
| 1275640997 | Memorial Health Systems Inc | Family Medicine | 61 Memorial Medical Pkwy Ste 2811, Palm Coast, FL 32164-5999 | 2006-08-25 |
| 1295841476 | Barry Steven Poliner | Family Medicine | 33 Old Kings Rd N Ste 3, Palm Coast, FL 32137-8238 | 2006-08-21 |
| Find all providers in PALM COAST | ||||
| City | PALM COAST |
| Zip Code | 32164 |
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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.