DR. DWIGHT S KEADY, JR (NPI# 1568449536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568449536 |
| Entity Type | Individual |
| Full Name | DR. DWIGHT S KEADY, JR |
| Credential | MD |
| Practice Address |
213 East Hospital Rd Philadelphia MS 39350 |
| Mailing Address |
213 East Hospital Road Philadelphia MS 39350 |
| Practice Telephone | 6016566116 |
| Practice Fax Number | 6017812363 |
| Mailing Telephone | 6016566116 |
| Mailing Fax Number | 6017812363 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2016-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 10775 | MS | Other Service Providers |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
131005 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00121130 | 05 | |
| MS | PALMETTO GBA RAILROAD | 830005996 | 01 |
| MS | RAILROAD GROUP # | CF9149 | 01 |
| Street Address |
213 EAST HOSPITAL RD |
| City | PHILADELPHIA |
| State | MS |
| Zip Code | 39350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548817133 | Airpark Family Dentistry | Dentist | 1060 Holland Avenue, Philadelphia, MS 39350 | 2019-08-20 |
| 1396303962 | Medical Foundation Inc | Obstetrics & Gynecology | Rush Medical Group / Philadelphia, 1106 Central Drive, Ste 3, Philadelphia, MS 39350 | 2019-05-30 |
| 1144759580 | Mapp Home Care Services | In Home Supportive Care | 41 Eastover Dr, Philadelphia, MS 39350 | 2017-06-08 |
| 1710411707 | Rcg Mississippi, Inc. | Clinic/Center | 1100 Central Drive, Philadelphia, MS 39350 | 2017-04-17 |
| 1114339405 | Bernard Oneal | Adult Companion | 10090 Rd 0022, None, Philadelphia, MS 39350 | 2014-05-21 |
| 1417213323 | Region Ten Commision On Mental Health | Clinic/Center | 1011 Posey Avenue, Philadelphia, MS 39350 | 2012-04-04 |
| 1851427132 | Performance Therapy LLC | Physical Therapist | Performance Therapy, LLC, 921 W Beacon Street, Philadelphia, MS 39350 | 2007-02-23 |
| 1922161900 | Ernest Barton Cross | Audiologist | 1120 East Main Street, Suite 4, Philadelphia, MS 39350 | 2006-12-19 |
| 1649348129 | Augustus P Soriano | Family Medicine | 517 Center Avenue, Philadelphia, MS 39350 | 2006-12-01 |
| 1982777983 | Bill G Molpus | Dentist | 247 Byrd Ave, Philadelphia, MS 39350 | 2006-11-16 |
| Find all providers in zip 39350 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760947840 | Russell Eugene Kaufman | Internal Medicine | 700 Glengarry Rd, Philadelphia, PA 19118-4111 | 2019-02-04 |
| 1891204921 | Ahmed Mostafa | Internal Medicine | Hahnemann University Hospital, 230 N. Broad St., Philadelphia, PA 19102 | 2017-09-20 |
| 1780077735 | Arnon I Dreyfuss | Internal Medicine | 239 Delancey St, Philadelphia, PA 19106-4318 | 2015-03-16 |
| 1215240932 | Hayley Michelle Knollman | Internal Medicine | 3400 Civic Center Blvd Fl 10, Philadelphia, PA 19104-5158 | 2010-07-22 |
| 1134455207 | Justine V. Cohen | Internal Medicine | 230 W Washington Sq Fl 2, Philadelphia, PA 19106-3500 | 2009-10-26 |
| 1528393899 | Madiha Atif Gilani | Internal Medicine | 834 Chestnut St., Suit 320, Ben Franklin House, Philadelphia, PA 19107 | 2009-10-05 |
| 1609057660 | Temple Physicians Inc. | Internal Medicine | 7500 Central Ave Ste 110, Philadelphia, PA 19111-2430 | 2007-11-19 |
| 1366500613 | Curtis A Alloy Do PC | Internal Medicine | 2221 S Broad St, Philadelphia, PA 19148 | 2006-12-05 |
| 1326159021 | Rodwige J Desnoyers | Internal Medicine | 925 Chestunut Street, Suite 320a, Philadelphia, PA 19107 | 2006-08-31 |
| 1770514499 | Donna J Glover | Internal Medicine | Two Franklin Town Blvd, Suite #100, Philadelphia, PA 19103 | 2006-07-05 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 39350 |
Please comment or provide details below to improve the information on DR. DWIGHT S KEADY, JR.
| 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.