DR. KEITH MATTHEW SEIBERT (NPI# 1467451211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467451211 |
| Entity Type | Individual |
| Full Name | DR. KEITH MATTHEW SEIBERT |
| Credential | M.D. |
| Practice Address |
10055 Ford Ave Ste 4a Richmond Hill GA 31324-3972 |
| Practice Telephone | 9127563075 |
| Practice Fax Number | 9127565291 |
| Mailing Telephone | 9127563075 |
| Mailing Fax Number | 9127565291 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2007-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 051733 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000966897A | 05 | |
| GA | RR MEDICARE | 370021486 | 01 |
| GA | BCBS | 010183 | 01 |
| SC | G51733 | 05 | |
| GA | 000966897B | 05 |
| Street Address |
10055 FORD AVE STE 4A |
| City | RICHMOND HILL |
| State | GA |
| Zip Code | 31324-3972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023313541 | Shelia M Kardeen Williams | Nurse Practitioner | 10055 Ford Ave, Suite 4a, Richmond Hill, GA 31324-3972 | 2011-01-13 |
| 1336285469 | Lisa Hutcherson Kind | Chiropractor | 10055 Ford Ave, 3-c, Richmond Hill, GA 31324-3972 | 2007-01-29 |
| 1699797324 | William Edwin Webb | Pediatrics | 10055 Ford Ave, Suite 4a, Richmond Hill, GA 31324-3972 | 2006-07-24 |
| 1376535260 | Christina Michelle Johnson | Physician Assistant | 10055 Ford Ave, Ste 4a, Richmond Hill, GA 31324-3972 | 2005-08-17 |
| 1144229824 | Vicki Lynn Driggers | Nurse Practitioner | 10055 Ford Ave, Suite 5a, Richmond Hill, GA 31324-3972 | 2005-07-15 |
| 1306844170 | Larry Nelson Elam | Pediatrics | 10055 Ford Ave, Ste 4a, Richmond Hill, GA 31324-3972 | 2005-07-14 |
| 1972501799 | Wallace Earl Holland Jr. | Internal Medicine | 10055 Ford Ave, Suite 5a, Richmond Hill, GA 31324-3972 | 2005-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902389588 | Bryan Anderson | Physician Assistant | 8435 Vanguard Road, Fort Stewart, GA 31324 | 2018-09-10 |
| 1366941684 | Codie Wiley | Physician Assistant | Expercare Urgent Care 60 Exchange Street, Suite B7, Richmond Hill, GA 31324 | 2018-02-02 |
| 1174038145 | Shelly Stewart Childers | Nurse Practitioner | 2453 U.S. 17, Suite G, Richmond Hill, GA 31324 | 2017-12-12 |
| 1619495215 | Kristi Oxley | Nurse Practitioner | 2701 Us Hwy 17 Ste 1b, Richmond Hill, GA 31324 | 2017-09-03 |
| 1275062564 | Janice Tillman Gravitt | Registered Nurse | 60 Long Creek Lane, Richmond Hill, GA 31324 | 2017-06-08 |
| 1336680065 | Choice Care Medical | Durable Medical Equipment & Medical Supplies | 9390 Ford Ave Ste 9, Richmond Hill, GA 31324 | 2017-03-14 |
| 1750730263 | Haralabos Saltourides | Physical Therapy Assistant | 127 Carter Street, Richmond Hill, GA 31324 | 2016-06-06 |
| 1922462464 | Leia Edenfield | Student in an Organized Health Care Education/Training Program | 105 Balfour Dr, Richmond Hill, GA 31324 | 2016-04-11 |
| 1477931384 | Stephanie Eileen Banasik | Nurse Practitioner | 10200 Ford Ave. Ste. 101, Richmond Hill, GA 31324 | 2015-05-12 |
| 1962800771 | Kendra Seagraves | Nurse Practitioner | 9976 Ford Avenue, Richmond Hill, GA 31324 | 2014-12-10 |
| Find all providers in zip 31324 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861637449 | Kimberly Blaine Crosland | Pediatrics | 10055 Ford Ave Ste 4a, Richmond Hill, GA 31324-3974 | 2008-12-10 |
| 1407996135 | Robby Mahadeo | Pediatrics | 12910 Liberty Ave, Richmond Hill, NY 11419 | 2007-02-08 |
| 1740392737 | Nancy Eliana Wallach | Pediatrics | 86 04 117th Street, Richmond Hill, NY 11418 | 2006-08-31 |
| 1235199266 | Sikander Manzoor | Pediatrics | 12102 Hillside Ave, Richmond Hill, NY 11418-1812 | 2006-03-24 |
| 1609836501 | Fawzia Kazmi | Pediatrics | 12108 Hillside Ave, Richmond Hill, NY 11418-1812 | 2006-03-24 |
| 1992354443 | Samantha Wilkinson Holmes | Pediatrics | 10055 Ford Ave Ste 4a, Richmond Hill, GA 31324-3974 | 2019-09-07 |
| 1255675708 | Anita Doshi | Pediatrics | 12108 Hillside Ave, Richmond Hill, NY 11418-1812 | 2012-11-22 |
| 1699797324 | William Edwin Webb | Pediatrics | 10055 Ford Ave, Suite 4a, Richmond Hill, GA 31324-3972 | 2006-07-24 |
| 1043276975 | Roseann T Spiotta | Pediatrics | 13303 Jamaica Avenue, Richmond Hill, NY 11418 | 2006-04-20 |
| 1396707956 | Javier Depaz | Pediatrics | 8900 Van Wyck Expy, Richmond Hill, NY 11418-2832 | 2006-04-06 |
| Find all providers in RICHMOND HILL | ||||
| City | RICHMOND HILL |
| Zip Code | 31324 |
Please comment or provide details below to improve the information on DR. KEITH MATTHEW SEIBERT.
| 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.