DR. CHARLES ALLAN KEAN (NPI# 1467467902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467467902 |
| Entity Type | Individual |
| Full Name | DR. CHARLES ALLAN KEAN |
| Credential | DPM |
| Practice Address |
1 Freedom Way Augusta GA 30904-6258 |
| Practice Telephone | 7067330188 |
| Practice Fax Number | 7068233983 |
| Mailing Telephone | 7067330188 |
| Mailing Fax Number | 7068233983 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
000882 | GA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1 FREEDOM WAY |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-6258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900713 | Robert Leon Longe | Pharmacist | 1 Freedom Way, Augusta, GA 30904-6258 | 2005-05-24 |
| 1609476951 | Melissa Ann Cotton | Dentist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-27 |
| 1487253217 | Kelsey Shull | Recreation Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-22 |
| 1437758844 | Angela Marie Brown | Social Worker | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-19 |
| 1538767819 | Stephen William Montgomery | Music Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-09 |
| 1134726631 | Rebecca Leigh Halioua | Recreation Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-07 |
| 1104435718 | Vincent Michael Fitch | Psychologist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-07-29 |
| 1558988162 | Amanda Draheim | Psychologist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-30 |
| 1174140784 | Tiffany Ariel Graves | Student in an Organized Health Care Education/Training Program | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-30 |
| 1982221776 | Janice J Anglin | Dietitian, Registered | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518951201 | Daniel James Benson | Podiatrist | 12 Spruce St, Suite #5, Augusta, ME 04330-5204 | 2005-09-08 |
| 1407862261 | Anthony Bartholomew Cresci II | Podiatrist | 1 Freedom Way, #228, Augusta, GA 30904-6258 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618048 | Dr. Kent Biehler LLC | Podiatrist | 604 N Hutchinson Ave, Adel, GA 31620-1900 | 2020-10-28 |
| 1679967988 | Fred Ehrenfeld Rabhan | Podiatrist | 314 Johnston St, Savannah, GA 31405-5609 | 2015-03-25 |
| 1245531821 | Ebony B Conner | Podiatrist | 300 Prime Point, Suite 100, Peachtree City, GA 30269-6851 | 2010-11-12 |
| 1801104716 | Foot and Ankle Center of West Georgia PC | Podiatrist | 100 Professional Pl # 100, Suite 101, Carrollton, GA 30117-3874 | 2010-09-14 |
| 1366627887 | Ronald S. Reagin,d.p.m. | Podiatrist | 656 S Main St Ste A, Baxley, GA 31513-0127 | 2008-01-03 |
| 1972627875 | Michael Cantrell | Podiatrist | 6857 Gangle Ct, Lithonia, GA 30058-3074 | 2007-03-17 |
| 1063560639 | William A Solomon | Podiatrist | 6200 Old National Hwy, College Park, GA 30349-4330 | 2007-01-08 |
| 1346324662 | Eileen Byrd | Podiatrist | 601 Old Norcross Rd Ste B, Lawrenceville, GA 30046-4311 | 2006-10-24 |
| 1639262181 | Dallas Renard Morgan | Podiatrist | 104 Patriot Way, Warner Robins, GA 31088 | 2006-10-02 |
| 1104868785 | Adam Michael Frasch | Podiatrist | 510 Gordon Ave, Thomasville, GA 31792-6646 | 2006-06-11 |
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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.